Individual
MS. SUSAN HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
780 THORNTON WAY, SAN JOSE, CA 95128-4713
(408) 793-5948
Mailing address
780 THORNTON WAY, SAN JOSE, CA 95128-4713
(408) 793-5948
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
20358
CA
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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