Individual
SUSAN L. DEASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
663 E STATE ST, SHARON, PA 16146-2006
(724) 983-3875
Mailing address
126 RIGGS RD, WEST MIDDLESEX, PA 16159-2418
(724) 528-9454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OP002864L
PA
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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