Individual
CASEY SPRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
120 BURRUS BLVD, BRODHEADSVILLE, PA 18322-7812
(313) 387-4106
Mailing address
766 METZGAR RD, EAST STROUDSBURG, PA 18301-8334
(631) 338-7410
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
031379
PA
2251P0200X
Pediatric Physical Therapist
0386721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT031379
PT LICENSE
PA
Enumeration date
02/25/2015
Last updated
11/08/2023
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