Individual
SUZANNA ANTONOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 383-6520
Mailing address
112 YARMOUTH RD, NORWOOD, MA 02062-1119
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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