Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT027655 | PA |
NPI | 1013540046 |
---|---|
Provider Name | Mia Almira Apilado Pagtakhan |
First Address | Allentown, PA 18104-8593 |
Second Address | Allentown, PA 18103-6377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2020 |
Last Update Date | 18/02/2020 |