Provider Demographics
NPI:1760681886
Name:LESNIK-EMAS, SUSANNE (EDD, CTRS)
Entity type:Individual
Prefix:DR
First Name:SUSANNE
Middle Name:
Last Name:LESNIK-EMAS
Suffix:
Gender:F
Credentials:EDD, CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2019 HARTEL AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-3607
Mailing Address - Country:US
Mailing Address - Phone:215-342-7220
Mailing Address - Fax:
Practice Address - Street 1:2019 HARTEL AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-3607
Practice Address - Country:US
Practice Address - Phone:215-342-7220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist