Antoinette Evangelista Colcol PTA

NPI 1730581380 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1730581380
Gender Female
Enumeration Date 09/25/2014
Last Updated 09/25/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
3417 KENNELWORTH LN
BONITA CA, 91902-1509, US
Phone (619) 746-1611
Fax
Business Location
3417 KENNELWORTH LN
BONITA CA, 91902-1509, US
Phone (619) 746-1611
Fax
Toxanomy
Taxonomy Code 225200000X
License State California
License Number AT9803
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According to our database, Ms. Antoinette Evangelista Colcol PTA NPI is 1730581380, taxonomy code is 225200000X and license number is AT9803, license state is located at California. Antoinette Evangelista Colcol PTA physically located at 3417 Kennelworth Ln, Bonita CA, 91902-1509. NPI Number Antoinette Evangelista Colcol PTA has the Individual type.

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1730581380 NPI number is provided on an as is basis without warranty of any kind. 1730581380 is maintained by the National Plan & Provider Enumeration System. The contents of Antoinette Evangelista Colcol PTA are for informational purposes only.