Individual
SUSAN ELAINE WEBSTER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
845 WATER ST, NORTHUMBERLAND, PA 17857-1243
(570) 473-3912
(570) 473-8731
Mailing address
845 WATER ST, PO BOX 64, NORTHUMBERLAND, PA 17857-1243
(570) 473-3912
(570) 473-8731
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DAPT000338
PA
208100000X
Physical Medicine & Rehabilitation Physician
PT002384E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50041977
CAPITAL BLUE CROSS
PA
Enumeration date
09/26/2005
Last updated
07/08/2007
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