Healthcare Provider Details

I. General information

NPI: 1851220057
Provider Name (Legal Business Name): SUSANA APREZA DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10050 PLACER ST APT B
RANCHO CUCAMONGA CA
91730-4156
US

IV. Provider business mailing address

10050 PLACER ST APT B
RANCHO CUCAMONGA CA
91730-4156
US

V. Phone/Fax

Practice location:
  • Phone: 909-568-5938
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: