Mr. Phillip John Antonio
Mr. Phillip John Antonio is a Student in an Organized Health Care Education/Training Program in Northridge, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
18111 Nordhoff Street California State NorthridgeNorthridge, CA 91330-8287
Phone: (818) 642-7785
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Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (CA) |
Record details
| NPI number | 1679082572 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 22, 2017 |
| Last updated in NPPES | September 19, 2019 |
| Mailing address | 8792 Hazeltine Ave, Panorama City, CA 91402-2552 |
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