Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CARISSA JOY ANTEZANA, PTA
ActiveOccupational Therapy Assistant · LEONARDTOWN, MD
Registration Details
- NPI Number
- 1568060739
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2020 (5.5267234821721 yrs)
- Last Updated
- Oct 11, 2020
- License
-
A02694 (MD)
Practice Information
- Address
-
25480 POINT LOOKOUT RD STE 200LEONARDTOWN, MD, 206503801Browse MD providers · Browse ZIP 20650
- Phone
- 2402563711
- Fax
- 2402563612
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in LEONARDTOWN, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER LYNN HALL | COTA | 1598887424 |
| JAN WATSON | COTA/L | 1164783148 |
| MRS. TERESIA MICHELLE WEAKLEY | COTA | 1710477203 |
| MECHELLE ANN SHIFFLETT | COTA | 1902558042 |
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.