Individual
JOHNATHAN TAYLOR CANDELARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 SOMERSET AVE, WINDBER, PA 15963-1397
(814) 467-3465
Mailing address
600 SOMERSET AVE, WINDBER, PA 15963-1397
(814) 467-3465
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT027956
PA
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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