Individual
MRS. AMY MAE PIDGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
116 FOX RDG, NAZARETH, PA 18064-8109
(610) 759-2389
Mailing address
116 FOX RIDGE DRIVE, NAZARETH, PA 18064
(610) 759-2389
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OP001894L
PA
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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