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NPI Code Detail

MEDICARE: SUSAN RADEL

MEDICARE:   SUSAN  RADEL
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
1225200000XPhysical Therapy AssistantTE002872LPA

General Provider Information

NPI Number : 1306098405
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN RADEL
Provider Business Mailing Address
First Line : 1700 MARKET ST
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-4817
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 MARKET ST
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-4817
Country : US
Telephone Number : 717-737-8551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 10/21/2008

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Directions to “ SUSAN RADEL ” Practice Location

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