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Suzanna Antonopoulos

Developmental Therapist in Jamaica Plain, MA. Individual provider (NPI-1).

NPI number1598046336
StatusActive
Last updated in NPPESSep 7, 2011

Details

NPI
1598046336
Entity type
Individual (NPI-1)
Name
Suzanna Antonopoulos
Sex
Female
Sole proprietor
No
Enumeration date
Sep 7, 2011
Last updated
Sep 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

555 Amory St
Jamaica Plain, MA 02130-2652

Phone 617-383-6520

Mailing address

112 Yarmouth Rd
Norwood, MA 02062-1119

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