Jonathan W. Su, PTA

Physical Therapy Assistant · Fairfield, CA

Individual Active NPI

NPI number 1205918596

Practice location

2702 Low Ct
Fairfield, CA 94534-9727
Phone
(707) 432-2660
Fax
(707) 432-2661

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NPI record

NPI
1205918596
Entity type
Individual (Type 1)
Enumeration date
October 19, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X AT6376 CA

Mailing address

PO Box 255668
Sacramento, CA 95865-5668
Phone
(800) 470-0071

About Jonathan Su

Jonathan W. Su, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 2702 Low Ct, Fairfield, CA 94534-9727. The NPI number 1205918596 was assigned on October 19, 2006 and the record was last updated on July 8, 2007.

Jonathan Su lists a license in the registry: #AT6376 (CA) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan W. Su, PTA?

The NPI number is 1205918596.

What is the phone number of Jonathan Su?

The phone number listed for the practice location is (707) 432-2660.

Where is Jonathan Su located?

2702 Low Ct, Fairfield, CA 94534-9727.

What is the taxonomy code for Jonathan Su?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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