Most Relevant Information
Provider Data
| NPI Number: | 1003025545 |
| Provider Name: | MARLA D'ANTONI O.T.R. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 100399 |
Most Important Dates
| Enumeration Date: | 05/22/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4 HERITAGE TRL
MAGNOLIA
TX
773541339
Practice Location Phone/Fax
| Phone: | 7138516118 |
| Fax: |
Provider Mailing Location
4 HERITAGE TRL
MAGNOLIA
TX
773541339
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |