Provider Demographics
NPI:1891905238
Name:RATKI, SUSAN L (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:L
Last Name:RATKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 HEMLOCK FARMS
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428
Mailing Address - Country:US
Mailing Address - Phone:914-548-8202
Mailing Address - Fax:
Practice Address - Street 1:P.O. 1313 HEMLOCK FARMS
Practice Address - Street 2:
Practice Address - City:HAWLEY
Practice Address - State:PA
Practice Address - Zip Code:18428
Practice Address - Country:US
Practice Address - Phone:914-271-5753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007087-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist