| Doctor Name: | MRS. JANELLE KRISTEN ANTONIO |
| NPI Number: | 1013195619 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT, OCS |
| License Number: | 22482 |
| Business Practice Address: | 107 Chesapeake Blvd Suite 100 Elkton, MD - 219216390 |
| Business Phone Number: | 4103929400 |
| Business Fax Number: | 4103920577 |
| Mailing Address: | 107 Chesapeake Blvd, Suite 100 ELKTON |
| State: | MD |
| Postal Code: | 219216390 |
| Phone Number: | 4103929400 |
| Fax Number: | 4103920577 |
| NPI Enumeration Date: | 02/06/2008 |
| NPI Last Update Date: | 09/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 22482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |