Provider Demographics
NPI:1831516228
Name:SUGG, ANNIE LAUREN (PT)
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:LAUREN
Last Name:SUGG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5080 SPECTRUM DR 1200W
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-4624
Mailing Address - Country:US
Mailing Address - Phone:972-720-7820
Mailing Address - Fax:214-775-4502
Practice Address - Street 1:246 OLMSTED BLVD
Practice Address - Street 2:STE D
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-6004
Practice Address - Country:US
Practice Address - Phone:910-235-0655
Practice Address - Fax:910-235-0665
Is Sole Proprietor?:No
Enumeration Date:2014-03-24
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT29014225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist