Provider Demographics
NPI:1356330575
Name:BRINKER, ANTOINETTE (TONI) BLANCHE (MPT)
Entity Type:Individual
Prefix:MRS
First Name:ANTOINETTE (TONI)
Middle Name:BLANCHE
Last Name:BRINKER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:UNIT 45011, BLDG 704, ATTN: MCJA-QM
Mailing Address - Street 2:USA MEDICAL DEPARTMENT ACTIVITY, JAPAN
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96338-5011
Mailing Address - Country:JP
Mailing Address - Phone:01181311-763-8206
Mailing Address - Fax:01181311-763-8183
Practice Address - Street 1:UNIT 45011, BLDG 704, ATTN: MCJA-QM
Practice Address - Street 2:USA MEDICAL DEPARTMENT ACTIVITY, JAPAN
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96338-5011
Practice Address - Country:JP
Practice Address - Phone:01181311-763-8206
Practice Address - Fax:01181311-763-8183
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8826225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist