Doctor Name: | MS. SUSAN L. PIETRZYK |
NPI Number: | 1679794366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT15063 |
Business Practice Address: | 15525 Pomerado Rd D4 Poway, CA - 920642435 |
Business Phone Number: | 8586741600 |
Business Fax Number: | 8586741606 |
Mailing Address: | Po Box 28199, SAN DIEGO |
State: | CA |
Postal Code: | 921980199 |
Phone Number: | 8586753100 |
Fax Number: | 8586181523 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 04/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT15063 |
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 |