Provider Demographics
NPI:1376961144
Name:KLEIN, SUNNI (PT)
Entity Type:Individual
Prefix:
First Name:SUNNI
Middle Name:
Last Name:KLEIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SUNNI
Other - Middle Name:
Other - Last Name:YANKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:DESK C-22
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-3122
Mailing Address - Fax:216-444-8548
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:DESK C-22
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-3122
Practice Address - Fax:216-444-8548
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10223225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist