Individual
MRS. HOLLY A PANGALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
133 LAURELBROOKE DR, BROOKVILLE, PA 15825-2653
(814) 849-0497
Mailing address
10 CENTRAL AVE, BROOKVILLE, PA 15825-2002
(814) 849-5358
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003551L
PA
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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