Individual
MS. DANA JEAN MARCHIONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
310 WAYNE ST, BEAVER, PA 15009-2252
(724) 728-0440
Mailing address
3007 SCHOOL ST, ALIQUIPPA, PA 15001-5120
(724) 728-0444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013117L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001889195
—
PA
Enumeration date
05/15/2008
Last updated
05/15/2008
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