Mr. Antonio Tyree Tate
Mr. Antonio Tyree Tate is a Rehabilitation Practitioner in Van Nuys, California. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
15339 Saticoy StVan Nuys, CA 91406-3345
Phone: (818) 535-7076
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1255451399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 30, 2007 |
| Last updated in NPPES | July 8, 2011 |
| Mailing address | 15339 Saticoy St, Van Nuys, CA 91406-3345 |
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