Individual
AVIVA SUERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.,P.T.
Contact information
Practice address
8241 E STOCKTON BLVD, SACRAMENTO, CA 95828-8200
(415) 305-7218
Mailing address
3240 ARDEN WAY, SACRAMENTO, CA 95825-2015
(916) 486-5460
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28681
CA
Other
Enumeration date
07/16/2010
Last updated
01/11/2022
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