Individual provider · Type 1 NPI

Peter Michael Fantino, L.M.T.

Specialist · Fremont, OH

NPI number 1154457612 Active

Practice location

1110 E State St
Fremont, OH 43420-4358

Fax (419) 332-1668

Mailing address

709 Franklin Ave
Fremont, OH 43420-2003

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X33.011903 (OH)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154457612

Peter Michael Fantino, L.M.T.'s National Provider Identifier is 1154457612, issued on Feb 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fremont, OH. The record was last updated on Jul 8, 2007.