Most Relevant Information
Provider Data
| NPI Number: | 1003050600 |
| Provider Name: | MARIA ANTONETTI LPTA13089 |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA13089 |
Most Important Dates
| Enumeration Date: | 04/27/2009 |
| Last Updated: | 11/15/2019 |
Provider Practice Location
394 N SUNCOAST BLVD STE 40
CRYSTAL RIVER
FL
344295466
Practice Location Phone/Fax
| Phone: | 3527956225 |
| Fax: | 3527956065 |
Provider Mailing Location
11242 SCENIC VISTA DR
CLERMONT
FL
347118669
Provider Mailing Phone/Fax
| Phone: | 3522475737 |
| Fax: |