MEDICARE: SIOBHAN D HORGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	PT021119	PA

General Provider Information

NPI Number	:	1548567332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIOBHAN D HORGAN

Provider Business Mailing Address
First Line	:	2400 WILDWOOD RD
Second Line	:
City	:	GIBSONIA
State	:	PA
Zip	:	15044-6404
Country	:	US
Telephone Number	:	412-487-7771
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 WILDWOOD ROAD
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-8203
Country	:	US
Telephone Number	:	412-487-7771
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2011
Last Update Date	:	08/30/2013

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Directions to “ SIOBHAN D HORGAN ” Practice Location

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