Individual
MS. SUSAN LYNNE FICKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
109 STAIR LN, SHOHOLA, PA 18458-4406
(570) 646-6071
Mailing address
109 STAIR LN, SHOHOLA, PA 18458-4406
(570) 646-6071
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT006265L
PA
Other
Enumeration date
05/05/2009
Last updated
02/08/2016
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