Individual provider · Type 1 NPI

Angela Caroline Pan, R-DMT

Specialist · Cincinnati, OH

NPI number 1144975087 Active

Practice location

5050 Madison Rd
Cincinnati, OH 45227-1491

Call (513) 272-2800 Map

Fax (513) 272-2807

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Dance Therapist 225600000X2719
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1144975087

Angela Caroline Pan, R-DMT's National Provider Identifier is 1144975087, issued on Feb 18, 2022. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cincinnati, OH. The record was last updated on Feb 18, 2022.