Individual
ANTIGONE SOPHIA VESCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022200
IL
225100000X
Physical Therapist
21279
MA
2255A2300X
Athletic Trainer
2417
MA
Other
Enumeration date
10/04/2014
Last updated
07/21/2022
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