Provider Demographics
NPI:1285773028
Name:PASQUINI, SUZANNE DJ (PT, MA)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:DJ
Last Name:PASQUINI
Suffix:
Gender:F
Credentials:PT, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 VALLEY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:24435-2831
Mailing Address - Country:US
Mailing Address - Phone:540-348-5252
Mailing Address - Fax:540-348-5252
Practice Address - Street 1:35 MAGNOLIA SQ
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:VA
Practice Address - Zip Code:24450-3761
Practice Address - Country:US
Practice Address - Phone:540-463-3490
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204005174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist