Individual
CLAIRE D'ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5487
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-1324
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL017075
PA
235Z00000X
Speech-Language Pathologist
TL-3854
NJ
Other
Enumeration date
07/04/2022
Last updated
07/13/2023
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