Individual
CONNIE YOUNG SUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2650 E FOOTHILL BLVD, PASADENA, CA 91107-3439
(626) 577-2261
Mailing address
1447 DESCANSO DR, LA CANADA, CA 91011-3138
(818) 633-9081
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16955
CA
Other
Enumeration date
03/01/2017
Last updated
02/03/2022
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