Individual
KETING SU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2185 BUSH ST APT 307, SAN FRANCISCO, CA 94115-5240
(206) 849-3920
Mailing address
2185 BUSH ST APT 307, SAN FRANCISCO, CA 94115-5240
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17323
CA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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