| NPI | 1275636599 |
|---|---|
| Former Name | DEANE CHINEN MAYESHITO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: HI 1603) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI PT-1603) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-09-08 |