Individual provider · Type 1 NPI

Carole Sussi Sponaugle, P.T.

Pediatric Physical Therapist · Lancaster, PA

NPI number 1164546560 Active

Practice location

600 Eden Road, Building I
Lancaster, PA 17601-4205

Fax (717) 295-3453

Mailing address

1424 Hillcrest Rd
Lancaster, PA 17603-2415

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XPT008757E (PA)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1164546560

Carole Sussi Sponaugle, P.T.'s National Provider Identifier is 1164546560, issued on Mar 19, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Lancaster, PA. The record was last updated on Jul 8, 2007.