Individual
ANTIONETTE M MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
500 COVENTRY LN STE 130, CRYSTAL LAKE, IL 60014-7578
(630) 418-4440
Mailing address
500 COVENTRY LN STE 130, CRYSTAL LAKE, IL 60014-7578
(630) 418-4440
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227022984
IL
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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