Provider Demographics
NPI:1083736649
Name:PIERI, SUZANNE HUANG (PT)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:HUANG
Last Name:PIERI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398 DEPOT ROAD
Mailing Address - Street 2:
Mailing Address - City:BOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01719
Mailing Address - Country:US
Mailing Address - Phone:978-264-0338
Mailing Address - Fax:
Practice Address - Street 1:398 DEPOT ROAD
Practice Address - Street 2:
Practice Address - City:BOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01719
Practice Address - Country:US
Practice Address - Phone:978-264-0338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAH 10195-PT225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist