Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN W SU, PTA
ActiveJONATHAN W SU, PTA is a Occupational Therapist healthcare provider located in FAIRFIELD, California. NPI 1205918596 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FAIRFIELD, CA
Registration Details
- NPI Number
- 1205918596
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.796563880804 yrs)
- Last Updated
- Jul 8, 2007
- License
-
AT6376 (CA)
Practice Information
- Address
-
2702 LOW CTFAIRFIELD, CA, 945349727Browse CA providers · Browse ZIP 94534
- Phone
- 7074322660
- Fax
- 7074322661
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in FAIRFIELD, CA
| Name | Credential | NPI |
|---|---|---|
| CHARO CASTRO | PTA | 1881775013 |
| JEREMY LEE GARLICK | PTA | 1205276441 |
| GARY COGHLAN | — | 1124554274 |
| NELL ENRIQUEZ DE GUZMAN | — | 1740759018 |
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.