Individual
ANTONIETTA LOUISE IANNACCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4007 VERDANT ST STE B, LOS ANGELES, CA 90039-1318
(213) 866-3367
Mailing address
1540 ALCAZAR ST # 133, LOS ANGELES, CA 90089-0080
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
06/03/2025
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