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Individual

MS. SUSAN FYOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
188 JIM KING RD, MASONTOWN, PA 15461-2432
(724) 570-5339
Mailing address
188 JIM KING RD, MASONTOWN, PA 15461-2432
(724) 570-5339

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 001968
WV

Other

Enumeration date
03/03/2014
Last updated
03/03/2014
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