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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAURA FANTAZZI, RRT-CPFT

Active Sole Proprietor

LAURA FANTAZZI, RRT-CPFT is a 2279P1006X healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1063370609 is currently active in the NPPES registry. Verify at CMS.

2279P1006X · PHILADELPHIA, PA

Registration Details

NPI Number
1063370609
Provider Type
Individual
Gender
Female
NPI Issued
Jan 13, 2026 (0.54184136475891 yrs)
Last Updated
Jan 13, 2026
License
YO000148L (PA)
Sole Proprietor
Yes

Practice Information

Address
111 S 11TH ST
PHILADELPHIA, PA, 191074870
Browse PA providers · Browse ZIP 19107
Phone
2159558105
Primary Specialty
2279P1006X
2279P1006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.