Provider Demographics
NPI:1801922430
Name:CWIK, SUSAN WRIGHT (PT)
Entity type:Individual
Prefix:MRS
First Name:SUSAN
Middle Name:WRIGHT
Last Name:CWIK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:551 CHAPARRAL DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TWP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6803
Mailing Address - Country:US
Mailing Address - Phone:724-772-2009
Mailing Address - Fax:724-772-2009
Practice Address - Street 1:114 SKYLINE LN
Practice Address - Street 2:COMMUNITY CARE CONNECTIONS, INC.
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-8762
Practice Address - Country:US
Practice Address - Phone:724-283-3198
Practice Address - Fax:724-283-5945
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000959E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001871904 0001OtherMEDICAL ASSISTANCE