Suzanne, Audre

Suzanne, Audre is an individual health care provider with primary practice located at 234 N San Pedro Rd , San Rafael CA 94903-2858. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Suzanne, Audre can be contacted via phone (415) 479-3450.

Contact Information

Primary practice address
234 N San Pedro Rd San Rafael CA 94903-2858
Phone: (415) 479-3450
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X PT29846 California

Profile Details

NPI number 1821577750
LBN Legal business name Suzanne, Audre
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2018
Last updated Aug 10th, 2018 - about 6 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.

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