Provider Demographics
NPI:1205551942
Name:SUGGS, GRACE CATHERINE (DPT, ATC)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:CATHERINE
Last Name:SUGGS
Suffix:
Gender:F
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HORGAN AVE APT 9
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-3645
Mailing Address - Country:US
Mailing Address - Phone:858-877-8659
Mailing Address - Fax:
Practice Address - Street 1:4900 MARIE P DEBARTOLO WAY
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-1100
Practice Address - Country:US
Practice Address - Phone:415-464-9377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports