Individual
SUSAN K SHUMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3 W OLIVE ST STE 118, SCRANTON, PA 18508-2576
(570) 961-3823
(570) 207-5988
Mailing address
3 W OLIVE ST STE 118, SCRANTON, PA 18508-2576
(570) 961-3823
(570) 207-5988
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE00633L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TE000633L
LICENSE
PA
Enumeration date
12/21/2017
Last updated
06/16/2018
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