Individual
ANNORA DIRSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
915 MONTGOMERY AVE STE 310, PENN VALLEY, PA 19072-1553
(610) 660-8200
Mailing address
915 MONTGOMERY AVE STE 310, PENN VALLEY, PA 19072-1553
(610) 660-8200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013681
PA
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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