Provider Demographics
NPI:1225195290
Name:ATTERMEIER, SUSAN M (PHD PT)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:M
Last Name:ATTERMEIER
Suffix:
Gender:F
Credentials:PHD PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1530 BORLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278
Mailing Address - Country:US
Mailing Address - Phone:919-929-9533
Mailing Address - Fax:919-929-9533
Practice Address - Street 1:1530 BORLAND ROAD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278
Practice Address - Country:US
Practice Address - Phone:919-929-9533
Practice Address - Fax:919-929-9533
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC1151225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7207753Medicaid
NC07753OtherBCBS