MR. Kim Antonio

NPI #1356746275 in Lodi, New Jersey

Provider Information

NPI Number: 1356746275
Entity Type: Individual
Name: MR. Kim Antonio
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Nov 4, 2014
Last Updated: Oct 23, 2019

Practice Location

Address: 103 MARION PEPE DR APT A
City: Lodi
State: New Jersey
ZIP Code: 07644-7824
Phone: (954) 682-6481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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