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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114315769 NPPES
California Other 15851 PT BOARD OF CALIFORNIA

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