Provider Demographics
NPI:1245513795
Name:LANDON, ABBY ROCHELLE
Entity type:Individual
Prefix:DR
First Name:ABBY
Middle Name:ROCHELLE
Last Name:LANDON
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 1:20808 ROUTE 19 STE B
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6022
Mailing Address - Country:US
Mailing Address - Phone:724-772-7060
Mailing Address - Fax:724-772-7061
Practice Address - Street 1:20808 ROUTE 19 STE B
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6022
Practice Address - Country:US
Practice Address - Phone:724-772-7060
Practice Address - Fax:724-772-7061
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010477111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor