Individual
MRS. JILL A D'ANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
112 BROOKSIDE RD, DALTON, PA 18414-9203
(646) 747-1300
Mailing address
112 BROOKSIDE RD, DALTON, PA 18414-9203
(646) 417-4505
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008824
PA
225XP0200X
Pediatric Occupational Therapist
013559-1
NY
Other
Enumeration date
09/08/2010
Last updated
11/25/2013
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