National Provider Identifier

Suzanne Marie Hake, PT

Suzanne Marie Hake, PT is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Batavia, NY and a listed phone number of (585) 343-5384.

NPI 1730819202Batavia, NYPediatric Physical Therapist

Profile Overview

NPI
1730819202
Provider Type
Individual
Primary Specialty
Pediatric Physical Therapist
Enumeration Date
June 16, 2022
Last Updated
June 16, 2022

Practice Location

  • 2A Richmond Ave
  • Batavia, NY 14020-1408

Phone: (585) 343-5384

Specialties

  • Pediatric Physical Therapist (2251P0200X)
Full Record
NPI
1730819202
Entity Type
Individual
Last Name
Hake
First Name
Suzanne
Middle Name
Marie
Name Prefix
Mrs.
Credential
PT
Mailing Street Address
2A Richmond Ave
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020-1408
Mailing Country
US
Mailing Phone
(585) 343-5384
Practice Street Address
2A Richmond Ave
Practice City
Batavia
Practice State
NY
Practice ZIP Code
14020-1408
Practice Country
US
Practice Phone
(585) 343-5384
Enumeration Date
June 16, 2022
Last Updated
June 16, 2022
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
May 13, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Physical Therapist (2251P0200X)
Other Identifiers
010165-01 (NY, New York State Education Department)