NPI 1003050600

Maria Antonetti, LPTA

Practitioner Physical Therapy Assistant Crystal River, FL

Practice location

Address: 394 N Suncoast Blvd STE 40, Crystal River, FL 34429-5466
Phone: (352) 795-6225
Fax: (352) 795-6065
Mailing address: 11242 Scenic Vista Dr, Clermont, FL 34711-8669

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA13089 (FL)

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Registry record

NPI: 1003050600
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Apr 2009
Record last updated: 15 Nov 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.