Susan Van Hise, MSPT
Physical Therapist in San Francisco, CA. Individual provider (NPI-1).
NPI number1801034665
StatusActive
Last updated in NPPESFeb 2, 2009
Details
- NPI
- 1801034665
- Entity type
- Individual (NPI-1)
- Name
- Susan Van Hise
- Credential
- MSPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2009
- Last updated
- Feb 2, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT 26134 | CA | Yes |
Practice location
3490 20th StFirst Floor
San Francisco, CA 94110-2582
Phone 415-824-4228
Mailing address
15 Washington Park AveMill Valley, CA 94941-1751
Phone 415-388-7149
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