Provider Demographics
NPI:1265428106
Name:LAUER, SUSAN L (PT)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:L
Last Name:LAUER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 TAPPAN TER
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1339
Mailing Address - Country:US
Mailing Address - Phone:914-941-1522
Mailing Address - Fax:
Practice Address - Street 1:31 TAPPAN TER
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1339
Practice Address - Country:US
Practice Address - Phone:914-941-1522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003330225100000X
NY08543225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist