| Doctor Name: | SUSANNE GOADE VERTIN |
| NPI Number: | 1063550655 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | PT10830 |
| Business Practice Address: | 777 Knowles Dr Suite 10 Los Gatos, CA - 950321417 |
| Business Phone Number: | 4083794100 |
| Business Fax Number: | 4083790800 |
| Mailing Address: | 777 Knowles Dr, Suite 10 LOS GATOS |
| State: | CA |
| Postal Code: | 950321417 |
| Phone Number: | 4083794100 |
| Fax Number: | 4083790800 |
| NPI Enumeration Date: | 02/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT10830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |