Individual
MISS TRICIA MIKIKO KASAMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
800 N STATE COLLEGE BLVD, ATTN: KINESIOLOGY, FULLERTON, CA 92831-3547
(657) 278-7206
Mailing address
800 N STATE COLLEGE BLVD, FULLERTON, CA 92831-3547
(657) 278-7206
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
01/24/2017
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