Individual
ALLISON ANTONACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1318 WAUKEGAN RD, GLENVIEW, IL 60025-3022
(866) 815-6592
Mailing address
5420 CARSON PL, POWELL, OH 43065-7489
(615) 681-7404
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
IL
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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