NPI 1316499916
Susannette Burroughs, MSEDBCMTB
Practice location
- Address
- 922 1/2 Rose Ave, Piedmont, CA 94611-4342
- Phone
- (650) 919-3054
- Mailing address
- 17 Glen Eden Ave # 6, Oakland, CA 94611-4316
Registered specialties
Mechanotherapist
Primary
Registry record
- NPI
- 1316499916
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Oct 2016
- Record last updated
- 16 Sep 2024
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.