Provider Demographics
NPI:1285819599
Name:FREYDER, SUSAN C (PT)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:C
Last Name:FREYDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:M
Other - Last Name:FREYDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:317 MARION DR
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2925
Mailing Address - Country:US
Mailing Address - Phone:724-941-5264
Mailing Address - Fax:
Practice Address - Street 1:150 SCHARBERRY LN
Practice Address - Street 2:
Practice Address - City:MARS
Practice Address - State:PA
Practice Address - Zip Code:16046-2430
Practice Address - Country:US
Practice Address - Phone:800-355-8894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000913E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist