Individual
SUSANNE GOADE VERTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
777 KNOWLES DR, SUITE 10, LOS GATOS, CA 95032-1417
(408) 379-4100
(408) 379-0800
Mailing address
777 KNOWLES DR, SUITE 10, LOS GATOS, CA 95032-1417
(408) 379-4100
(408) 379-0800
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT10830
CA
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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