Individual
ANGELIA CHIRDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5500 BROOKTREE RD, SUITE 102, WEXFORD, PA 15090-9260
(724) 940-3468
Mailing address
1800 CAMBRIDGE DR, DAVIDSVILLE, PA 15928-9231
(814) 884-0452
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008108
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016214030002
—
PA
Enumeration date
03/14/2007
Last updated
08/09/2007
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