Provider Demographics
NPI:1396578613
Name:SUZANNE SEMANSON PHYSICAL THERAPY, PLLC
Entity type:Organization
Organization Name:SUZANNE SEMANSON PHYSICAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:773-504-6567
Mailing Address - Street 1:400 CENTRAL PARK W APT 12K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-5803
Mailing Address - Country:US
Mailing Address - Phone:773-504-6567
Mailing Address - Fax:
Practice Address - Street 1:217 CENTRE ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3624
Practice Address - Country:US
Practice Address - Phone:347-218-0078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty