Individual
DR. KATHRYN SUSLOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
893 SIR FRANCIS DRAKE BLVD, THERAPEUTIC BODYWORK CENTER, SAN ANSELMO, CA 94960-1916
(415) 723-6555
Mailing address
893 SIR FRANCIS DRAKE BLVD, THERAPEUTIC BODYWORK CENTER, SAN ANSELMO, CA 94960-1916
(415) 723-6555
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
130391
CA
2083P0901X
Public Health & General Preventive Medicine Physician
248038
NY
Other
Enumeration date
10/25/2008
Last updated
06/07/2016
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