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NPI Code Detail

MEDICARE: AMY PAOLA ANTONIO

MEDICARE: AMY PAOLA ANTONIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1558171918
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY PAOLA ANTONIO
Provider Business Mailing Address
First Line : 8963 E MARSHALL PL
Second Line :
City : TULSA
State : OK
Zip : 74115-5930
Country : US
Telephone Number : 918-934-5703
Fax Number :
Provider Business Practice Location Address
First Line : 3650 CAMELOT DR
Second Line :
City : BARTLESVILLE
State : OK
Zip : 74006-7623
Country : US
Telephone Number : 918-331-9050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2025
Last Update Date : 01/08/2025

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Directions to “ AMY PAOLA ANTONIO ” Practice Location

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