Most Relevant Information
Provider Data
| NPI Number: | 1003040791 |
| Provider Name: | SUSANNAH LYNN COOVER PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 030112 |
Most Important Dates
| Enumeration Date: | 05/08/2009 |
| Last Updated: | 03/30/2021 |
Provider Practice Location
8885 CENTRE PARK DR STE G
COLUMBIA
MD
210452199
Practice Location Phone/Fax
| Phone: | 4107301275 |
| Fax: |
Provider Mailing Location
8885 CENTRE PARK DR STE G
COLUMBIA
MD
210452199
Provider Mailing Phone/Fax
| Phone: | 4107301275 |
| Fax: |