Provider Demographics
NPI:1770312076
Name:ANTANTIS, ZELDA LEI
Entity type:Individual
Prefix:
First Name:ZELDA
Middle Name:LEI
Last Name:ANTANTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2432 BONNIE DELL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129-8892
Mailing Address - Country:US
Mailing Address - Phone:412-304-9413
Mailing Address - Fax:
Practice Address - Street 1:2432 BONNIE DELL DR
Practice Address - Street 2:
Practice Address - City:SOUTH PARK
Practice Address - State:PA
Practice Address - Zip Code:15129-8892
Practice Address - Country:US
Practice Address - Phone:412-304-9413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer