Individual
NORIKO MAHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 PARK PL, EL SEGUNDO, CA 90245-4908
(310) 643-9016
Mailing address
5153 W 132ND ST, HAWTHORNE, CA 90250-5046
(310) 349-0042
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6389
CA
2255A2300X
Athletic Trainer
089602689
CA
Other
Enumeration date
07/01/2008
Last updated
07/02/2008
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