| NPI | 1962908707 |
|---|---|
| Former Name | ALICIA M ANTICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 5748) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-09-08 |