Individual
STACY SOLTE ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7141 SECURITY BLVD., WOODLAWN, MD 21244
(703) 359-7878
Mailing address
7141 SECURITY BLVD., WOODLAWN, MD 21244
(703) 359-7878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9543
MA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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