NPI | 1770098048 |
---|---|
Former Name | KAYLA SAKAMOTO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: HI PT-4513) |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2017-12-08 |
Last Update Date | 2024-11-18 |