Provider Demographics
NPI:1548858970
Name:SPINNER, SUSAN FRANCES (PT, DPT)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:FRANCES
Last Name:SPINNER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7758 KIDWELL CT
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1619
Mailing Address - Country:US
Mailing Address - Phone:480-242-8525
Mailing Address - Fax:
Practice Address - Street 1:1110 TOWN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1233
Practice Address - Country:US
Practice Address - Phone:410-672-8091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-31
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28513225100000X
AZLPT-315722251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist