Individual
PAMELA WELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 GOUCHER ST, JOHNSTOWN, PA 15905-2942
(814) 255-6844
Mailing address
807 GOUCHER ST, JOHNSTOWN, PA 15905-2942
(814) 255-6844
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001948L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP001948L
OT
PA
Enumeration date
02/11/2015
Last updated
02/11/2015
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