Sushama Biji Joseph

Individual provider Active NPI Physical Therapist · Richboro, PA

NPI 1366733446 · NPPES record last updated Apr 25, 2011

Key facts

NPI
1366733446
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT015574 (PA)
Practice address
22 Fir Dr
Richboro, PA 18954-1620
Phone
(215) 497-4346
NPI assigned
Apr 25, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT015574PAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015574 PA Yes

Addresses

Primary practice location

22 Fir Dr
Richboro, PA 18954-1620

Mailing address

22 Fir Dr
Richboro, PA 18954-1620
Phone (215) 497-4346

Other providers in Richboro, PA

All providers in Richboro, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.