Provider Demographics
NPI:1952333536
Name:SOSCIA, SUSAN M (PT, ATC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:M
Last Name:SOSCIA
Suffix:
Gender:F
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1681 CRANSTON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920
Mailing Address - Country:US
Mailing Address - Phone:401-223-0230
Mailing Address - Fax:401-223-0231
Practice Address - Street 1:1681 CRANSTON ST
Practice Address - Street 2:SUITE A
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920
Practice Address - Country:US
Practice Address - Phone:401-223-0230
Practice Address - Fax:401-223-0231
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRI 00917225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI22053-6OtherBLUE CROSS ID
RI11419OtherNEIGHBORHOOD HEALTH OF RI
RI204138OtherBLUE CHIP ID
RI204138OtherBLUE CHIP ID