Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KIM ANTONIO

Active Sole Proprietor

MR. KIM ANTONIO is a Physical Therapy Assistant healthcare provider located in LODI, New Jersey. NPI 1356746275 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LODI, NJ

Registration Details

NPI Number: 1356746275
Provider Type: Individual
Gender: Male
NPI Issued: Nov 4, 2014 (11.594926886014 yrs)
Last Updated: Oct 23, 2019
Licenses: 40QA01700400

40QA01700400 (NJ)
Sole Proprietor: Yes

Practice Information

Address: 103 MARION PEPE DR APT A

LODI, NJ, 076447824
Browse NJ providers · Browse ZIP 07644
Phone: 9546826481
Primary Specialty: Physical Therapy Assistant
225100000X
Additional Specialty: Physical Therapy Assistant
Additional Specialty: Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LODI, NJ

Name	Credential	NPI
MR. JAMES C BONARDI	MPT	1023063120
MR. MICHAEL REPASY	P.T	1881633113
MRS. CARLA F. LOAIZA	DPT	1902824790
MRS. KIMBERLEY ANNE CARECCIA	MSPT	1942304050
MR. ROY ARGANA	PT	1972658821
MED MYRA F MANGCOY	PT	1083907505

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.