Susan M Blum, P.T.
Individual provider Active NPI Pediatric Physical Therapist · Windsor, PA
NPI 1760680680 · NPPES record last updated Mar 21, 2008
Key facts
- NPI
- 1760680680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- PT-001868-E (PA)
- Practice address
- 140 Azalea Dr
Windsor, PA 17366-8518 - Phone
- (717) 309-1354
- Fax
- (717) 235-3531
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-001868-E | PA | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT-001868-E | PA | Yes |
Addresses
Primary practice location
140 Azalea Dr
Windsor, PA 17366-8518
Mailing address
140 Azalea Dr
Windsor, PA 17366-8518
Phone (717) 309-1354
Other providers in Windsor, PA
- Michael D Bunz
- Bridget Butts
- Crozier Professional Counseling LLC
- Julia Dee Crozier
- Carroll Willis Ehrhart
All providers in Windsor, PA · Pediatric Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.