Henry, Susan
Henry, Susan is an individual health care provider with primary practice located at 126 N San Gabriel Blvd , San Gabriel CA 91775-2427. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Henry, Susan can be contacted via phone (626) 285-3131.Contact Information
Primary practice address
126 N San Gabriel Blvd
San Gabriel CA 91775-2427
Phone: (626) 285-3131
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 15851 | California |
Profile Details
NPI number | 1114315769 |
---|---|
LBN Legal business name | Henry, Susan |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2015 |
Last updated | Jan 6th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114315769 | NPPES |
California | Other | 15851 | PT BOARD OF CALIFORNIA |
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