| NPI | 1396612305 |
|---|---|
| Doing Business As | SUZANNE COUNTRYMAN |
| Doing Business As | SUZANNE K COUNTRYMAN |
| Entity Type | Organization |
| Authorized Contact | SUZANNE K COUNTRYMAN Sole Mbr 917-716-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-29 |