Susan Lee Portugall, PT

NPI #1255480687 in Richmond, California

Provider Information

NPI Number: 1255480687
Entity Type: Individual
Name: Susan Lee Portugall, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jan 8, 2007
Last Updated: Jan 3, 2022

Practice Location

Address: 901 NEVIN AVE
City: Richmond
State: California
ZIP Code: 94801-3143
Phone: (510) 307-1551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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