Individual
SUZANNE POLCYN DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
34 GREYTHORNE WOODS CIR, WAYNE, PA 19087-4758
(610) 995-2727
Mailing address
864 COUNTY LINE RD, BRYN MAWR, PA 19010-2516
(610) 581-0111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT 013396L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124448000
PERSONAL CHOICE (INDEPBC)
PA
01
—
5936658
AETNA PPO
PA
Enumeration date
10/12/2006
Last updated
07/12/2018
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