Nicole Tamara Antoine

NPI #1164567095 in Lutherville, Maryland

Provider Information

NPI Number: 1164567095
Entity Type: Individual
Name: Nicole Tamara Antoine
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 20, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10753 FALLS RD
City: Lutherville
State: Maryland
ZIP Code: 21093-4535
Phone: (410) 583-2665

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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