Provider Demographics
NPI:1831635077
Name:VREELAND, SUZANNA (LMT)
Entity Type:Individual
Prefix:MS
First Name:SUZANNA
Middle Name:
Last Name:VREELAND
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 BALMORAL CT
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1854
Mailing Address - Country:US
Mailing Address - Phone:646-320-4089
Mailing Address - Fax:
Practice Address - Street 1:28 BALMORAL CT
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1854
Practice Address - Country:US
Practice Address - Phone:646-320-4089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT01003600225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist