Provider Demographics
NPI:1720107352
Name:LOWY, SUZANNE LYN (PT)
Entity Type:Individual
Prefix:MS
First Name:SUZANNE
Middle Name:LYN
Last Name:LOWY
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 1:360 LITTLETON RD
Mailing Address - Street 2:C-17
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3368
Mailing Address - Country:US
Mailing Address - Phone:978-256-1233
Mailing Address - Fax:
Practice Address - Street 1:360 LITTLETON RD
Practice Address - Street 2:C-17
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3368
Practice Address - Country:US
Practice Address - Phone:978-256-1233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10044225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist