Individual ProviderSusan Lynn DohertyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address719 Maiden Choice Ln, Catonsville, MD 21228-6138(410) 737-8859PECOS EnrollmentBased on the most recent information from CMS, provider Susan Lynn Doherty does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1982994349Provider TypeIndividualFull NameDoherty, Susan LynnTitleMrs.CredentialP.T.GenderFemaleSole ProprietorYesEnumeration Date4/19/2011Last Updated4/19/2011Contact InformationPractice LocationPractice Address719 Maiden Choice Ln, Catonsville, MD 21228-6138Phone(410) 737-8859FaxUnlisted FaxMailing LocationMailing Address719 Maiden Choice Ln, Catonsville, MD 21228-6138Phone(410) 737-8859FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense16250Maryland