Individual
CHANDA BRYN PAUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 E 2ND ST, COUDERSPORT, PA 16915-8306
(814) 274-7610
Mailing address
596 JOJO RD., KANE, PA 16735
(814) 598-0922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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