Tie Su

Developmental Therapist · Walnut, CA

Individual Active NPI

NPI number 1467298083

Practice location

826 Silver Fir Rd
Walnut, CA 91789-3220
Phone
(909) 979-0892

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NPI record

NPI
1467298083
Entity type
Individual (Type 1)
Enumeration date
July 3, 2024
Last updated
July 3, 2024
Certified
July 3, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmental Therapist Primary 222Q00000X — —

About Tie Su

Tie Su is a healthcare provider registered in the NPI registry with the primary taxonomy Developmental Therapist (code 222Q00000X). The practice location is 826 Silver Fir Rd, Walnut, CA 91789-3220. The NPI number 1467298083 was assigned on July 3, 2024 and the record was last updated on July 3, 2024.

Frequently asked questions

What is the NPI number of Tie Su?

The NPI number is 1467298083.

What is the phone number of Tie Su?

The phone number listed for the practice location is (909) 979-0892.

Where is Tie Su located?

826 Silver Fir Rd, Walnut, CA 91789-3220.

What is the taxonomy code for Tie Su?

The primary taxonomy code is 222Q00000X – Developmental Therapist.

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.