Individual provider · Type 1 NPI

Destinee Antillon, PROGRAM ADMINISTRATO

Rehabilitation Practitioner · Riverside, CA

NPI number 1801027651 Active

Practice location

3625 14th St
Riverside, CA 92501-3815

Call (951) 955-1540 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: 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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About NPI 1801027651

Destinee Antillon, PROGRAM ADMINISTRATO's National Provider Identifier is 1801027651, issued on Jul 28, 2009. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Riverside, CA. The record was last updated on Mar 31, 2025.