Individual
ANTONETTE MAGNATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
400 INTERNATIONAL PKWY, STE 300, LAKE MARY, FL 32746-5061
(800) 806-6026
Mailing address
1436 2ND ST, EUREKA, CA 95501-0602
(313) 506-8329
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007736
MI
Other
Enumeration date
06/25/2010
Last updated
05/02/2013
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