Individual
CRAIG M. SOUDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.T.
Contact information
Practice address
250 CETRONIA ROAD, SUITE 303, ALLENTOWN, PA 18104-9168
(610) 973-6200
(610) 973-6534
Mailing address
7450 TILGHMAN ST, SUITE 100, ALLENTOWN, PA 18106-9034
(610) 973-1700
(610) 973-1779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT012773L
PA
2251S0007X
Sports Physical Therapist
PT012773L
PA
2251X0800X
Orthopedic Physical Therapist
Primary
PT012773L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1674539
BLUE SHIELD
PA
01
—
2000541
KEYSTONE CENTRAL
PA
01
—
50039966
BLUE CROSS
PA
01
—
7345608
AETNA
PA
Enumeration date
09/21/2005
Last updated
09/11/2025
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