| Doctor Name: | SUZANNE MARGARET RANDELS KOTES |
| NPI Number: | 1578813515 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | PT011988L |
| Business Practice Address: | 541 N Franklin St Shamokin, PA - 178726754 |
| Business Phone Number: | 5706442000 |
| Business Fax Number: | 5706449801 |
| Mailing Address: | 430 Innovation Drive, BLAIRSVILLE |
| State: | PA |
| Postal Code: | 157178096 |
| Phone Number: | 7243434060 |
| Fax Number: | 7243434069 |
| NPI Enumeration Date: | 09/18/2012 |
| NPI Last Update Date: | 01/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT011988L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |