Organization
SUSAN FICKEN PEDIATRIC THERAPY LLC
Active
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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