Individual
MRS. CHARDA MELODY HASSENPLUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
807 GOUCHER ST, JOHNSTOWN, PA 15905-2942
(814) 255-4921
(814) 255-4921
Mailing address
415 DEVLIN ST, GALLITZIN, PA 16641-1210
(814) 327-9119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006133
PA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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