Individual
SUZANNE S PATENAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MA CIE
Contact information
Practice address
305 VINEYARD TOWN CTR, #354, MORGAN HILL, CA 95037-5674
(408) 690-5654
(831) 630-1717
Mailing address
305 VINEYARD TOWN CTR, #354, MORGAN HILL, CA 95037-5674
(408) 690-5654
(831) 630-1717
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
2573
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261QP200X
PHYSICAL THERAPY
CA
Enumeration date
05/22/2007
Last updated
07/08/2007
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