Provider Demographics
NPI:1811015779
Name:SUFFEL, DAVID S (PT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:S
Last Name:SUFFEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1838 GREENE TREE RD STE 245
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-7110
Mailing Address - Country:US
Mailing Address - Phone:410-753-3317
Mailing Address - Fax:410-753-3325
Practice Address - Street 1:1838 GREENE TREE RD STE 245
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-7110
Practice Address - Country:US
Practice Address - Phone:410-753-3317
Practice Address - Fax:410-753-3325
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD17928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist