National Provider Identifier
Susan J Deking, PT
Susan J Deking, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Wolcott, NY and a listed phone number of (315) 594-6124.
Profile Overview
- NPI
- 1376505289
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- April 05, 2006
- Last Updated
- July 08, 2007
Practice Location
- 12010 Main St
- Wolcott, NY 14590
Phone: (315) 594-6124
Mailing Address
- 8390 Oswego RD
- Liverpool, NY 13090
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1376505289
- Entity Type
- Individual
- Last Name
- Deking
- First Name
- Susan
- Middle Name
- J
- Credential
- PT
- Mailing Street Address
- 8390 Oswego RD
- Mailing City
- Liverpool
- Mailing State
- NY
- Mailing ZIP Code
- 13090
- Mailing Country
- US
- Mailing Phone
- (315) 652-4323
- Mailing Fax
- (315) 622-1110
- Practice Street Address
- 12010 Main St
- Practice City
- Wolcott
- Practice State
- NY
- Practice ZIP Code
- 14590
- Practice Country
- US
- Practice Phone
- (315) 594-6124
- Practice Fax
- (315) 594-2182
- Enumeration Date
- April 05, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 02303973 (NY)