Individual
GREGORY ALLEN DEANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1113 N EASTON RD, WILLOW GROVE, PA 19090
(215) 659-3060
Mailing address
1113 N EASTON RD, WILLOW GROVE, PA 19090
(215) 659-3060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009537
PA
Other
Enumeration date
01/27/2009
Last updated
02/05/2009
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