Provider Demographics
NPI:1386609840
Name:CERRONI, SUZANNA
Entity type:Individual
Prefix:MRS
First Name:SUZANNA
Middle Name:
Last Name:CERRONI
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:SUZANNA
Other - Middle Name:
Other - Last Name:SILVESTRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2276 LANCASTER RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302
Mailing Address - Country:US
Mailing Address - Phone:313-702-7928
Mailing Address - Fax:
Practice Address - Street 1:1701 SOUTH BLVD STE 110
Practice Address - Street 2:ADVANCED PHYSICAL THERAPY
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307
Practice Address - Country:US
Practice Address - Phone:248-853-4431
Practice Address - Fax:248-853-5048
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501011616225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist