Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ANTON PAVLOV
Active Sole ProprietorMR. ANTON PAVLOV is a Recreational Therapist Assistant healthcare provider located in BURBANK, California. NPI 1295291607 is currently active in the NPPES registry. Verify at CMS.
Recreational Therapist Assistant · BURBANK, CA
Registration Details
- NPI Number
- 1295291607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2019 (7.3221318027887 yrs)
- Last Updated
- Feb 12, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
640 N KEYSTONE ST STE BBURBANK, CA, 915061900Browse CA providers · Browse ZIP 91506
- Phone
- 8188468666
- Fax
- 8188468665
- Primary Specialty
-
Recreational Therapist Assistant
246YR1600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.