MR. Antonio Andere JR.

NPI #1649547431 in Alsip, Illinois

Provider Information

NPI Number: 1649547431
Entity Type: Individual
Name: MR. Antonio Andere JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 21, 2011
Last Updated: Nov 21, 2011

Practice Location

Address: 4618 W 115TH PL
City: Alsip
State: Illinois
ZIP Code: 60803-2214
Phone: (708) 529-8814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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