Doctor Name: | SUZANNE EDWARDS |
NPI Number: | 1548515844 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT11845 |
Business Practice Address: | 3550 Round Barn Blvd Ste 112 Santa Rosa, CA - 954031796 |
Business Phone Number: | 7075665488 |
Business Fax Number: | |
Mailing Address: | 169 Finch Ct, HERCULES |
State: | CA |
Postal Code: | 945471539 |
Phone Number: | 5103333490 |
Fax Number: | |
NPI Enumeration Date: | 07/23/2012 |
NPI Last Update Date: | 07/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT11845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |