Individual
CHASE SUSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
220 S RIVER ST, PLAINS, PA 18705-1137
(570) 824-3444
(570) 824-3517
Mailing address
4460 PARK VIEW DR, W-7, SCHNECKSVILLE, PA 18078-2579
(570) 472-1000
(610) 769-1977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019621
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
394508
MEDICARE
PA
Enumeration date
06/17/2010
Last updated
06/17/2010
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