Individual
LISA ANTOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4572 TELEPHONE RD STE 903, VENTURA, CA 93003-5663
(805) 654-8127
Mailing address
4572 TELEPHONE RD STE 903, VENTURA, CA 93003-5663
(805) 654-8127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PT33435
CA
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
01/10/2010
Last updated
02/05/2010
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