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Organization
SUSQUEHANNA PHYSICIAN SERVICES
Active
Organization
SUSQUEHANNA PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DAVIS (VP/COO)
(570) 326-8544
Entity
Organization
Contact information
Practice address
416 S MAIN ST STE 1, MANSFIELD, PA 16933-1510
(570) 662-1920
(570) 662-1921
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
11/03/2020
Last updated
12/17/2025
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