Individual
ALIKA MARK ANTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3819 6TH AVE, TACOMA, WA 98406-4903
(253) 844-4137
(253) 844-4138
Mailing address
3819 6TH AVE, TACOMA, WA 98406-4903
(253) 844-4137
(253) 844-4138
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201484
LABOR & INDUSTRIES
WA
05
—
8438012
—
WA
Enumeration date
09/13/2006
Last updated
02/29/2016
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