Antonette Ellesmere Distan
Antonette Ellesmere Distan is a Physical Therapist in Lancaster, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
1601 Arnica LnLancaster, CA 93535-4442
Phone: (818) 601-9714
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 16439 (CA) |
|---|
Record details
| NPI number | 1023448016 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 12, 2013 |
| Last updated in NPPES | November 12, 2013 |
| Mailing address | 1601 Arnica Ln, Lancaster, CA 93535-4442 |
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