Individual
SUSAN KOENIG
Active
Individual
SUSAN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
6365
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0365092
—
MA
01
—
2976291
AETNA
MA
01
—
333402
TUFTS
MA
01
—
626323
HARVARD PILGRIM
MA
01
—
Y66774
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/23/2005
Last updated
07/13/2026
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