Stacy Suyama DPT

NPI 1487825865 - Physical Therapist - 225100000X

NPI Details
NPI 1487825865
Gender Female
Enumeration Date 03/13/2008
Last Updated 04/20/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
840 APOLLO ST
SUITE 101
EL SEGUNDO CA, 90245-4723, US
Phone (310) 606-5664
Fax
Business Location
840 APOLLO ST
SUITE 101
EL SEGUNDO CA, 90245-4723, US
Phone (310) 606-5664
Fax
Toxanomy
Taxonomy Code 225100000X
License State California
License Number 34374
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According to our database, Stacy Suyama DPT NPI is 1487825865, taxonomy code is 225100000X and license number is 34374, license state is located at California. Stacy Suyama DPT physically located at 840 Apollo St, El Segundo CA, 90245-4723. NPI Number Stacy Suyama DPT has the Individual type.

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1487825865 NPI number is provided on an as is basis without warranty of any kind. 1487825865 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Suyama DPT are for informational purposes only.