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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SUPHADA DEUTZ

Active Sole Proprietor

SUPHADA DEUTZ is a Physical Therapy Assistant healthcare provider located in EL SEGUNDO, California. NPI 1891401766 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · EL SEGUNDO, CA

Registration Details

NPI Number
1891401766
Provider Type
Individual
Gender
Female
NPI Issued
Jan 25, 2023 (3.5551228320884 yrs)
Last Updated
Jan 25, 2023
License
87537 (CA)
Sole Proprietor
Yes

Practice Information

Address
815 WASHINGTON ST
EL SEGUNDO, CA, 902453344
Browse CA providers · Browse ZIP 90245
Phone
3232149025
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in EL SEGUNDO, CA

Name Credential NPI
MS. MARIA LYNN PUGIA MPT 1215922158
DAVID HALBERG PT 1912939430
SCOTT AGBINCOLA PT 1700818192
MR. ALEX M YOUSSEFIAN P.T. 1013925544
MS. DANEL LOMBARD MPT 1851302004
MRS. MICHELE KATHRYN MCCARTHY PT, MSPT, OCS, CHT 1497848956
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.