Individual
MS. MARIA ANTONETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA13089
Contact information
Practice address
394 N SUNCOAST BLVD STE 40, CRYSTAL RIVER, FL 34429-5466
(352) 795-6225
(352) 795-6065
Mailing address
11242 SCENIC VISTA DR, CLERMONT, FL 34711-8669
(352) 247-5737
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA13089
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106898
MEDICARE ID
FL
Enumeration date
04/27/2009
Last updated
11/15/2019
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