Provider Demographics
NPI:1346416054
Name:KNIGHT, SUZANNE DOSER (LPT)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:DOSER
Last Name:KNIGHT
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 JUDD PLACE DR
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2386
Mailing Address - Country:US
Mailing Address - Phone:919-557-8305
Mailing Address - Fax:919-557-8306
Practice Address - Street 1:304 JUDD PLACE DR
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2386
Practice Address - Country:US
Practice Address - Phone:919-557-8305
Practice Address - Fax:919-557-8306
Is Sole Proprietor?:No
Enumeration Date:2008-05-02
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6876225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist