Ishita N Sura, PT

NPI #1861671216 in Cupertino, California

Provider Information

NPI Number: 1861671216
Entity Type: Individual
Name: Ishita N Sura, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Nov 1, 2007
Last Updated: Jul 27, 2017

Practice Location

Address: 20823 STEVENS CREEK BLVD
Address 2: #200
City: Cupertino
State: California
ZIP Code: 95014-2108
Phone: (408) 252-6076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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