Individual
MS. CHRISTINE SAN ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10125
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0325783
—
MA
01
—
2179597
FIRST HEALTH
MA
01
—
5510520
CCN
MA
01
—
7255570
AETNA
MA
01
—
Y68296
BCBS
MA
Enumeration date
05/04/2007
Last updated
07/08/2007
Update your record
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