IndividualActive
Carissa Antezana, PTA
NPI 1568060739 · Occupational Therapy Assistant · Leonardtown, MD
Provider details
- NPI number
- 1568060739
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- A02694 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
25480 Point Lookout Rd Ste 200
Leonardtown, MD 20650-3801
Phone: (240) 256-3711
Fax: (240) 256-3612
Approximate (ZIP-level) locationGet directions
Mailing address
25480 Point Lookout Rd Ste 200
Leonardtown, MD 20650-3801
Registry dates
- Enumerated
- 2020-10-11
- Last updated
- 2020-10-11
- Certified
- 2020-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.