Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1609275296 |
---|---|
Provider Name | Kiah Sundermeir |
First Address | Morgan Hill, CA 95037-3432 |
Second Address | Fremont, CA 94539-5847 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2014 |
Last Update Date | 19/08/2014 |