Individual
ALAN ANTONACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 INTERNATIONAL DR STE 200, SILVER SPRING, MD 20906-1550
(301) 598-1450
Mailing address
3801 INTERNATIONAL DR STE 200, SILVER SPRING, MD 20906-1550
(301) 598-1450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3789
MD
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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