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Mr. Antonio Tyree Tate
Rehabilitation Practitioner in Van Nuys, California
NPI 1255451399

Antonio Tyree Tate is a Rehabilitation Practitioner based in Van Nuys, CA. Antonio Tyree Tate practices in Van Nuys, CA. The NPI Number for Antonio Tyree Tate is 1255451399 and holds a License No. (California).

The current practice location address for Antonio Tyree Tate is 15339 Saticoy St, Van Nuys, CA and can be reached out via phone at 818-535-7076.

Location: 15339 Saticoy St, Van Nuys, CA, 91406-3345
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255451399
Provider Name
Antonio Tyree Tate
Credential
Provider Entity Type
Individual
Gender
Male
Address
15339 Saticoy St, Van Nuys, CA, 91406-3345
Phone Number
818-535-7076
Fax Number
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15339 Saticoy St
City
Van Nuys
State
California
Zip
91406-3345
Phone Number
818-535-7076
Fax Number
person
Provider Business Mailing Address Details
Address
15339 Saticoy St
City
Van Nuys
State
California
Zip
91406-3345
Phone Number
818-535-7076
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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