Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Susan J Nissim

Individual provider Gerontology Occupational Therapist · NPI 1073337200

Susan J Nissim is a Gerontology Occupational Therapist in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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Practice location Address checks out

35 Santiago Way
San Rafael, CA 94903-1790
Phone: (415) 302-8643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Occupational Therapist (primary) Taxonomy 225XG0600X · Licence 6516 (CA)

Record details

NPI number1073337200
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 13, 2024
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

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