Individual
JEFFREY SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2640 WHITNEY DR, ALHAMBRA, CA 91803-4429
(626) 366-6441
Mailing address
2640 WHITNEY DR, ALHAMBRA, CA 91803-4429
(626) 366-6441
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT294376
CA
225100000X
Physical Therapist
294376
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT294376
PHYSICAL THERAPY
CA
Enumeration date
04/30/2018
Last updated
12/10/2020
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