Organization
SUNSHINE THERAPEUTIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUZANNE R. IGDALSKY M.S. CCC/SLP (ADMINISTRATOR/OWNER)
(570) 656-2062
Entity
Organization
Contact information
Practice address
1510 AL UNSER ROAD, LONG POND, PA 18334-0041
(570) 656-2062
(570) 643-2867
Mailing address
PO BOX 41, 1510 AL UNSER ROAD, LONG POND, PA 18334-0041
(570) 656-2062
(570) 643-2867
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101508344
—
PA
Enumeration date
04/14/2008
Last updated
04/14/2008
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