Individual
PATRICIA ROSE CHADDERDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA COTA/L
Contact information
Practice address
2140 WARRENSVILLE RD, MONTOURSVILLE, PA 17754-9621
(570) 433-3161
Mailing address
8206 PLEASANT VALLEY RD, COGAN STATION, PA 17728-8522
(570) 971-3332
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OP005794
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TE1002554
PA
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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