Individual
CASSIA CHITLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPED
Contact information
Practice address
2001 WATERDAM PLAZA DR STE 208, MC MURRAY, PA 15317-5416
(480) 734-4744
Mailing address
1400 KNIGHTS DR APT 311, SOUTH PARK, PA 15129-8519
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
PD000133
PA
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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