Individual
ANDREW ANTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1840 W 38TH PL, DAVENPORT, IA 52806-5415
(563) 340-0546
Mailing address
1840 W 38TH PL, DAVENPORT, IA 52806-5415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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