Provider Demographics
NPI:1710647854
Name:PANANDIGAN, ALODEIA NERILEY
Entity Type:Individual
Prefix:
First Name:ALODEIA NERILEY
Middle Name:
Last Name:PANANDIGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 HOMEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3441
Mailing Address - Country:US
Mailing Address - Phone:929-204-7592
Mailing Address - Fax:
Practice Address - Street 1:12 HOMEWOOD RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3441
Practice Address - Country:US
Practice Address - Phone:929-204-7592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist