Individual provider · NPI-1

Jodi Ann Antonini, M.S., CCC-SLP

Speech-Language Pathologist, · Plantation, FL

NPI number1194805317
StatusActive
Last updated in NPPESDec 22, 2008

Details

NPI
1194805317
Entity type
Individual (NPI-1)
Name
Mrs. Jodi Ann Antonini
Credential
M.S., CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 16, 2006
Last updated
Dec 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,sa7192FLYes

Practice location

6738 W Sunrise Blvd
Sutie 107
Plantation, FL 33313-6070

Phone 954-587-1210

Mailing address

10430 Nw 49th Pl
Coral Springs, FL 33076-1734

Phone 954-818-5433

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