Doctor Name: | TERI ANTOSH |
NPI Number: | 1447472238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | OC00007132L |
Business Practice Address: | 400 Middle Rd Nanticoke, PA - 186343821 |
Business Phone Number: | 5707887321 |
Business Fax Number: | 5707887267 |
Mailing Address: | 686 Main Rd, HUNLOCK CREEK |
State: | PA |
Postal Code: | 186213811 |
Phone Number: | 5705427931 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OC00007132L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |