Individual
ANGELINA ANTANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 HARVEST CT, ROHNERT PARK, CA 94928-1400
(707) 529-6227
Mailing address
4300 HARVEST CT, ROHNERT PARK, CA 94928-1400
(707) 529-6227
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
09403
OR
225200000X
Physical Therapy Assistant
Primary
AT 4560
CA
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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