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Susan Mais-requejo, DPT
Orthopedic Physical Therapist in Long Beach, California
NPI 1730383506

Susan Mais-requejo is a Orthopedic Physical Therapist based in Long Beach, CA and is specialized in Orthopedic. Susan Mais-requejo practices in Long Beach, CA and has the professional credentials of DPT. The NPI Number for Susan Mais-requejo is 1730383506 and holds a License No. PT18717 (California).

The current practice location address for Susan Mais-requejo is 2819 Josie Ave, Long Beach, CA and can be reached out via phone at 562-743-3761 and via fax at 596-496-3628.

Location: 2819 Josie Ave, Long Beach, CA, 90815-1515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730383506
Provider Name
Susan Mais-requejo
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
2819 Josie Ave, Long Beach, CA, 90815-1515
Phone Number
562-743-3761
Fax Number
596-496-3628
Provider Enumeration Date
06/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PT181717 01 CA LICENSE
institution
Provider Business Practice Location Address Details
Address
2819 Josie Ave
City
Long Beach
State
California
Zip
90815-1515
Phone Number
562-743-3761
Fax Number
596-496-3628
person
Provider Business Mailing Address Details
Address
2819 Josie Ave
City
Long Beach
State
California
Zip
90815-1515
Phone Number
562-743-3761
Fax Number
596-496-3628
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
PT18717 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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