Provider Demographics
NPI:1851813562
Name:GUSEVA, YULIYA (DPT)
Entity Type:Individual
Prefix:
First Name:YULIYA
Middle Name:
Last Name:GUSEVA
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 1:2425 VALDEZ ST # 408
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3133
Mailing Address - Country:US
Mailing Address - Phone:646-644-2530
Mailing Address - Fax:
Practice Address - Street 1:659 COMMERCIAL ST STE 101
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94111-2566
Practice Address - Country:US
Practice Address - Phone:415-904-8707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-13
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist