Individual
SUZANNE MACIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 CAPITOL AVE, SACRAMENTO, CA 95816-6039
(916) 887-4466
Mailing address
130 MERRITT WAY, SACRAMENTO, CA 95864-6955
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
24538
CA
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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