Individual
SUSAN E FETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
UPMC SUSQUEHANNA ,625 WEST EDWIN STREET, WILLIAMSPORT, PA 17701
(570) 326-0565
(570) 326-7582
Mailing address
UPMC SUSQUEHANNA, 625 WEST EDWIN STREET,, WILLIAMSPORT, PA 17701
(570) 326-0565
(570) 326-7582
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003060L
PA
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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