Stacy Solte Antonio, PTA

NPI #1235618406 in Woodlawn, Maryland

Provider Information

NPI Number: 1235618406
Entity Type: Individual
Name: Stacy Solte Antonio, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 8, 2018
Last Updated: Aug 8, 2018

Practice Location

Address: 7141 SECURITY BLVD.
City: Woodlawn
State: Maryland
ZIP Code: 21244
Phone: (703) 359-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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