Antonio, Kyle

Antonio, Kyle is an individual health care provider with primary practice located at 585 Saturn Blvd Ste A , San Diego CA 92154-4721. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Antonio, Kyle can be contacted via phone (619) 591-1190.

Contact Information

Primary practice address
585 Saturn Blvd Ste A San Diego CA 92154-4721
Phone: (619) 591-1190
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 51482 California

Profile Details

NPI number 1568180784
LBN Legal business name Antonio, Kyle
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2022
Last updated Aug 15th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568180784 NPPES
California Other F2125959 DRIVER'S LICENSE

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