Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 27870 | CA |
NPI | 1295399244 |
---|---|
Provider Name | Catherine Sy |
First Address | Santa Cruz, CA 95060-4130 |
Second Address | Santa Cruz, CA 95060-4130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2019 |
Last Update Date | 25/04/2019 |