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Individual

DIANNA L ANTONACCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T., M.B.A.

Contact information

Practice address
7231 TALL OAK CT, ST. LOUIS, MO 63129
(314) 846-9653
Mailing address
7231 TALL OAK CT, ST. LOUIS, MO 63129
(314) 846-9653

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01009
MO

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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