Cunningham, Susan

Cunningham, Susan is an individual health care provider with primary practice located at 16 Hayden Ave , Lexington MA 02421-7929. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cunningham, Susan can be contacted via phone (781) 372-7060.

Contact Information

Primary practice address
16 Hayden Ave Lexington MA 02421-7929
Phone: (781) 372-7060
Fax: (781) 372-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5152 Massachusetts

Profile Details

NPI number 1710042296
LBN Legal business name Cunningham, Susan
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jan 8th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710042296 NPPES
Massachusetts MEDICAID 0358983

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