Individual
SHANELLE TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 S CEDARBROOK RD, ALLENTOWN, PA 18104-5708
(610) 395-3727
Mailing address
38 N 15TH ST APT 1, ALLENTOWN, PA 18102-4207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008633
PA
Other
Enumeration date
12/22/2017
Last updated
12/22/2017
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