Individual
MIEKO TAKEMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2514 MARY ST, MONTROSE, CA 91020-1125
(626) 278-8437
Mailing address
2514 MARY ST, MONTROSE, CA 91020-1125
(626) 278-8437
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
57556
CA
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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