Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN J NISSIM
Active Sole ProprietorGerontology Occupational Therapist · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1073337200
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2024 (1.4369938044284 yrs)
- Last Updated
- Nov 13, 2024
- License
-
6516 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35 SANTIAGO WAYSAN RAFAEL, CA, 949031790Browse CA providers · Browse ZIP 94903
- Phone
- 4153028643
- Primary Specialty
-
Gerontology Occupational Therapist
225XG0600X
Other Gerontology Occupational Therapist Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| CASSANDRA WHITTINGTON | — | 1295089837 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.