Susquehanna Physician Services
Physical Therapist in Mansfield, PA. Organization (NPI-2).
NPI number1982205472
StatusActive
Last updated in NPPESDec 17, 2025
Details
- NPI
- 1982205472
- Entity type
- Organization (NPI-2)
- Legal business name
- Susquehanna Physician Services
- Organization subpart
- No
- Enumeration date
- Nov 3, 2020
- Certification date
- Dec 17, 2025
- Last updated
- Dec 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 261QP2000X | Clinic/Center, Physical Therapy | – | – |
Practice location
416 S Main St Ste 1Mansfield, PA 16933-1510
Phone 570-662-1920 · Fax 570-662-1921
Mailing address
1201 Grampian BlvdWilliamsport, PA 17701-1900
Authorized official
Melissa Davis
Vp/Coo
5703268544
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All 11 Physical Therapist providers in Mansfield · All 139 providers in Mansfield
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