| Doctor Name: | MS. SUZANNE ELIZABETH DORMA |
| NPI Number: | 1336210046 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT009735 |
| Business Practice Address: | 525 Alexandria Pike Suite 200 Southgate, KY - 410713290 |
| Business Phone Number: | 8593012663 |
| Business Fax Number: | 8593010655 |
| Mailing Address: | 560 S Loop Rd, EDGEWOOD |
| State: | KY |
| Postal Code: | 410173405 |
| Phone Number: | 8593012663 |
| Fax Number: | 8593010655 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 05/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT009735 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |