Organization
SUSKO THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHASE DANIEL SUSKO MSPT (PRESIDENT/PHYSICAL THERAPIST)
(570) 675-1800
Entity
Organization
Contact information
Practice address
2800 MEMORIAL HWY, SUITE 5, DALLAS, PA 18612-1569
(570) 675-1800
Mailing address
2800 MEMORIAL HWY, SUITE 5, DALLAS, PA 18612-1569
(570) 675-1800
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT019621
PA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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