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1053042432
SAMUEL JUSTIN ANTONACCI
NORTH CANTON, OH
NPI
1053042432
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH PT018270)
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
SAMUEL JUSTIN ANTONACCI PT, DPT
6057 STRIP AVE NW
NORTH CANTON, OH 44720-9207
Phone number: 330-492-8136
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Mailing Address
SAMUEL JUSTIN ANTONACCI PT, DPT
12775 BEECH ST NE
ALLIANCE, OH 44601-8778
Phone number: 330-904-4130
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