| Doctor Name: | SUZANNE K WING-DOUGHERTY |
| NPI Number: | 1013228477 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 5930 Vandervoort Dr Ste A Lincoln, NE - 685162391 |
| Business Phone Number: | 4024202099 |
| Business Fax Number: | 4024202823 |
| Mailing Address: | 5930 Vandervoort Dr Ste A, LINCOLN |
| State: | NE |
| Postal Code: | 685162391 |
| Phone Number: | 4024202099 |
| Fax Number: | 4024202823 |
| NPI Enumeration Date: | 06/30/2010 |
| NPI Last Update Date: | 06/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |