Individual
ANGELA CAROLINE PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R-DMT
Contact information
Practice address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
(513) 272-2807
Mailing address
5050 MADISON RD, CINCINNATI, OH 45227-1491
(513) 272-2800
(513) 272-2807
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
174400000X
Specialist
Primary
—
—
225600000X
Dance Therapist
2719
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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