Provider Demographics
NPI:1740434836
Name:MCCREA, SUSAN I (PT)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:I
Last Name:MCCREA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 RENAISSANCE DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-7612
Mailing Address - Country:US
Mailing Address - Phone:724-282-0755
Mailing Address - Fax:724-282-7723
Practice Address - Street 1:200 RENAISSANCE DR
Practice Address - Street 2:SUITE 301
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-7612
Practice Address - Country:US
Practice Address - Phone:724-282-0755
Practice Address - Fax:724-282-7723
Is Sole Proprietor?:No
Enumeration Date:2008-11-17
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006539L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist