Individual
ALISA MARIE SUBURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1800 WESTWIND DR, BLD 500, BAKERSFIELD, CA 93301-3055
(661) 377-1700
(661) 616-9199
Mailing address
3400 CALLOWAY DR STE 603, BAKERSFIELD, CA 93312-2514
(661) 377-1700
(661) 616-9199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24101
CA
Other
Enumeration date
07/23/2009
Last updated
09/26/2018
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