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NPI Code Detail

MEDICARE: ANDREW SUTPHIN DPT

MEDICARE: ANDREW SUTPHIN DPT
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
1225100000XPhysical TherapistPT017453PA

General Provider Information

NPI Number : 1639240054
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW SUTPHIN DPT
Provider Business Mailing Address
First Line : 3721 CRESCENT CT W
Second Line :
City : WHITEHALL
State : PA
Zip : 18052-3446
Country : US
Telephone Number : 610-820-7667
Fax Number : 610-820-7671
Provider Business Practice Location Address
First Line : 3721 CRESCENT CT W
Second Line :
City : WHITEHALL
State : PA
Zip : 18052-3446
Country : US
Telephone Number : 610-820-7667
Fax Number : 610-820-7671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 07/08/2007

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Directions to “ ANDREW SUTPHIN DPT” Practice Location

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