Audre Suzanne, PT Valid NPI
Individual provider · Geriatric Physical Therapist · San Rafael, CA
- NPI
- 1821577750
- Type
- Individual (Type 1)
- Primary specialty
- Geriatric Physical Therapist (Physical Therapist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2251G0304X
- License number
- PT29846 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-08-10
- Last updated
- 2018-08-10
Practice location
234 N San Pedro Rd
San Rafael, CA 94903-2858
(415) 479-3450