Megan Jewell Antoninka, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Jefferson City, MO

NPI

1841940087

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

2020036130 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2022-03-28

Last updated

2022-03-28