Provider Demographics
NPI:1427358936
Name:HESS, SUSAN ANDERSON (PT)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:ANDERSON
Last Name:HESS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:LEE
Other - Last Name:HESS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:512 DARRAHS WAY
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969-2605
Mailing Address - Country:US
Mailing Address - Phone:215-799-0120
Mailing Address - Fax:
Practice Address - Street 1:1801 SUSQUEHANNA RD
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-4622
Practice Address - Country:US
Practice Address - Phone:215-887-0347
Practice Address - Fax:215-887-0365
Is Sole Proprietor?:No
Enumeration Date:2010-10-30
Last Update Date:2010-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-007663-L2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics