Individual
BETHANY SUZANNE SORENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
880 SR 6W, TUNKHANNOCK, PA 18657
(570) 836-7753
Mailing address
1 KELLY ST, MONTROSE, PA 18801-1503
(570) 470-4776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012237L
PA
225100000X
Physical Therapist
026781
NY
225100000X
Physical Therapist
11585
MA
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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