MEDICARE: SUSAN M KREINBROOK MPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT016590	PA

General Provider Information

NPI Number	:	1235209917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN M KREINBROOK MPT

Provider Business Mailing Address
First Line	:	1214 CARLISLE ST
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-1020
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1316 PITTSBURGH ST
Second Line	:
City	:	CHESWICK
State	:	PA
Zip	:	15024-1447
Country	:	US
Telephone Number	:	724-274-4333
Fax Number	:	724-274-4303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	10/13/2020

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Directions to “ SUSAN M KREINBROOK MPT” Practice Location

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