Individual provider · Type 1 NPI

Sophia Seeranoush Antebian, ATS

Student in an Organized Health Care Education/Training Program · State College, PA

NPI number 1336050459 Active

Practice location

201 Hastings Road
State College, PA 16802

Call (949) 910-5509 Map

Mailing address

15990 Emily Corlett
Marshall, MI 49068-8311

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1336050459

Sophia Seeranoush Antebian, ATS's National Provider Identifier is 1336050459, issued on Sep 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in State College, PA. The record was last updated on Sep 16, 2026.