Organization
SUSAN FICKEN PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN LYNNE FICKEN PT (OWNER)
(570) 656-6071
Entity
Organization
Contact information
Practice address
132 DON DR, SHOHOLA, PA 18458-4147
(570) 656-6071
Mailing address
132 DON DR, SHOHOLA, PA 18458-4147
(570) 656-6071
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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