Provider Demographics
NPI:1477997922
Name:SYED, NASEEMUNISSA (DPT)
Entity Type:Individual
Prefix:DR
First Name:NASEEMUNISSA
Middle Name:
Last Name:SYED
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3885 VISTA POINT CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95148-3124
Mailing Address - Country:US
Mailing Address - Phone:408-667-5547
Mailing Address - Fax:
Practice Address - Street 1:3885 VISTA POINT CT
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95148-3124
Practice Address - Country:US
Practice Address - Phone:408-667-5547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2021-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070-017340225100000X
CA41036225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist