Provider Demographics
NPI:1235528886
Name:ARNONE, SUSANNA G (OTR/L)
Entity Type:Individual
Prefix:
First Name:SUSANNA
Middle Name:G
Last Name:ARNONE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SUSANNA
Other - Middle Name:G
Other - Last Name:DANIELS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:457 WANOKA RD
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-2429
Mailing Address - Country:US
Mailing Address - Phone:570-647-6914
Mailing Address - Fax:
Practice Address - Street 1:354 MAIN ST
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:PA
Practice Address - Zip Code:18421-1418
Practice Address - Country:US
Practice Address - Phone:570-785-2018
Practice Address - Fax:570-785-3575
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC013653225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist