Individual
MS. AYAKO NIVA SHONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, MPT
Contact information
Practice address
1401 AVOCADO AVE STE 808, NEWPORT BEACH, CA 92660-8707
(949) 706-1001
(949) 706-1002
Mailing address
1401 AVOCADO AVE STE 808, NEWPORT BEACH, CA 92660-8707
(949) 706-1001
(949) 706-1002
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14876
CA
225100000X
Physical Therapist
9236
CO
225100000X
Physical Therapist
PT14876
CA
Other
Enumeration date
06/23/2008
Last updated
03/15/2022
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