Individual
REBECCA ANTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
400 BELCHASE DR STE 406, MATAWAN, NJ 07747-9760
(732) 851-6947
(732) 705-3329
Mailing address
166 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00995500
NJ
Other
Enumeration date
06/25/2020
Last updated
07/05/2023
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