Susan Varghese Mammen
Susan Varghese Mammen is a Physical Therapist in Irvine, California. Practices as a sole proprietor. Licensed in California and New York.
- Licensed in
- CA, NY
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
22 Odyssey #165Irvine, CA 92618-3186
Phone: (949) 727-2192
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence 36259 (CA) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 62-027654 (NY) |
Record details
| NPI number | 1164752564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 6, 2010 |
| Last updated in NPPES | May 19, 2011 |
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