Tie Su
NPI #1467298083 in Walnut, California
Provider Information
- NPI Number
- 1467298083
- Entity Type
- Individual
- Name
- Tie Su
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Jul 3, 2024
- Last Updated
- Jul 3, 2024
Practice Location
- Address
- 826 SILVER FIR RD
- City
- Walnut
- State
- California
- ZIP Code
- 91789-3220
- Phone
- (909) 979-0892
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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