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Heidi Ann Anticevich, PTA

Physical Therapy Assistant in Simi Valley, CA. Individual provider (NPI-1).

NPI number1891901302
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1891901302
Entity type
Individual (NPI-1)
Name
Mrs. Heidi Ann Anticevich
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
May 14, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantAT4620CAYes

Practice location

5704 Damon St
Simi Valley, CA 93063-4229

Phone 805-526-9532

Mailing address

5704 Damon St
Simi Valley, CA 93063-4229

Phone 805-526-9532

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Other Physical Therapy Assistant providers in Simi Valley, CA

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