Individual
MR. PETER MICHAEL FANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1110 E STATE ST, FREMONT, OH 43420-4358
(419) 307-1290
(419) 332-1668
Mailing address
709 FRANKLIN AVE, FREMONT, OH 43420-2003
(419) 332-1668
(419) 332-1668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
33.011903
OH
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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