MEDICARE: SUSAN LYNN DELANKO

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	226300000X	Kinesiotherapist

General Provider Information

NPI Number	:	1457395956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN LYNN DELANKO

Provider Business Mailing Address
First Line	:	615 PAINTER AVE
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2439
Country	:	US
Telephone Number	:	412-784-3870
Fax Number	:	412-784-3740

Provider Business Practice Location Address
First Line	:	615 PAINTER AVE
Second Line	:
City	:	NATRONA HEIGHTS
State	:	PA
Zip	:	15065-2439
Country	:	US
Telephone Number	:	412-784-3870
Fax Number	:	412-784-3740

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	07/08/2007

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Directions to “ SUSAN LYNN DELANKO ” Practice Location

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