Organization
AYAKO PHYSICAL THERAPY, INC.
Active
Other names
Elite Physical Therapy Associates, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
AYAKO NIVA SHONO (OWNER)
(949) 706-1001
Entity
Organization
Contact information
Practice address
1401 AVOCADO AVE # 808, NEWPORT BEACH, CA 92660-7720
(949) 706-1001
(949) 706-1002
Mailing address
1401 AVOCADO AVE # 808, NEWPORT BEACH, CA 92660-7720
(949) 706-1001
(949) 706-1002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT14876
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
06/29/2022
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