Individual
SUSAN LOUISE TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
500 E CALAVERAS BLVD STE 104, MILPITAS, CA 95035-7708
(408) 262-6620
Mailing address
2763 SUNBONNET CT, SAN JOSE, CA 95125-6341
(408) 835-3142
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT16823
CA
Other
Enumeration date
09/04/2018
Last updated
11/02/2018
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