NPI 1134389935

Suzuko Hamamoto-Deresh, CMT

Practitioner Mechanotherapist San Bruno, CA

Practice location

Address: 883 Sneath Ln Suite 221, San Bruno, CA 94066-2409
Phone: (850) 438-0621
Fax: (650) 872-3253

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence NO STATE LICENSE REQ (CA)

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Registry record

NPI: 1134389935
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2008
Record last updated: 15 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.