Mina Milad Antonuos

NPI #1124771241 in Tinley Park, Illinois

Provider Information

NPI Number: 1124771241
Entity Type: Individual
Name: Mina Milad Antonuos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 28, 2022
Last Updated: Jan 28, 2022

Practice Location

Address: 6623 OAK FOREST AVE APT 12
City: Tinley Park
State: Illinois
ZIP Code: 60477-3569
Phone: (708) 518-5440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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