Antonietta Louise Iannaccone
Occupational Therapist - Pediatrics
1540 Alcazar St # 133
Los Angeles
, California 90089-0080
Antonietta Louise Iannaccone
Occupational Therapist - Pediatrics
1540 Alcazar St # 133
Los Angeles
, California 90089-0080
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Antonietta Louise Iannaccone
- 1540 Alcazar St # 133
- Los Angeles, CA
- Zip : 90089-0080
- Phone :
Second Address
- Antonietta Louise Iannaccone
- 1540 Alcazar St # 133
- Los Angeles, CA
- Zip : 90089-0080
- Phone : (323) 442-2850
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Is Antonietta Louise Iannaccone a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics |
National Provider Identifier
| NPI | 1063931707 |
|---|---|
| Provider Name | Antonietta Louise Iannaccone |
| First Address | Los Angeles, CA 90089-0080 |
| Second Address | Los Angeles, CA 90089-0080 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2017 |
| Last Update Date | 29/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.