Provider Demographics
NPI:1528291630
Name:FLEMING, SUZANNE (OTR/L)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:FLEMING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13083 TOWER RD
Mailing Address - Street 2:
Mailing Address - City:DOSWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23047-2026
Mailing Address - Country:US
Mailing Address - Phone:804-883-3151
Mailing Address - Fax:
Practice Address - Street 1:13083 TOWER RD
Practice Address - Street 2:
Practice Address - City:DOSWELL
Practice Address - State:VA
Practice Address - Zip Code:23047-2026
Practice Address - Country:US
Practice Address - Phone:804-883-3151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003976225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology