Individual
BETH FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 S MAIN ST, WASHINGTON, PA 15301-6267
(724) 250-5774
Mailing address
835 S MAIN ST, WASHINGTON, PA 15301-6267
(724) 250-5774
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003124
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TEI003124
—
PA
Enumeration date
11/08/2021
Last updated
11/08/2021
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