NPI | 1265670517 |
---|---|
Professional Name | NANCY JEAN ANTONINO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL001083L) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH 2245) |
Enumeration Date | 2009-01-25 |
Last Update Date | 2009-01-25 |