Doctor Name: | MRS. SUSAN MARIE MADEL |
NPI Number: | 1770644015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT008114L |
Business Practice Address: | 266 Lancaster Ave Malvern, PA - 193553256 |
Business Phone Number: | 6106404133 |
Business Fax Number: | 6106400630 |
Mailing Address: | 50 Colleen Cir, DOWNINGTOWN |
State: | PA |
Postal Code: | 193354935 |
Phone Number: | 4842378940 |
Fax Number: | 6106872779 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 12/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT008114L |
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 |