Individual
SANDRA ANTOSZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2003 W 4TH ST STE 205, ONTARIO, OH 44906-1865
(567) 307-6008
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4268
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT10560
OH
2251P0200X
Pediatric Physical Therapist
Primary
PT10560
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498034
—
OH
Enumeration date
09/22/2016
Last updated
04/09/2025
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