Individual
MR. ANTONIO DIMAANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2450 EL CAMINO REAL STE 101, PALO ALTO, CA 94306-1706
(650) 565-8090
(650) 565-8095
Mailing address
387 SPRING PARK RD, CAMARILLO, CA 93012-7734
(650) 565-8090
(650) 565-8095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT29692
LICENSE
CA
Enumeration date
02/07/2007
Last updated
04/09/2019
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