Individual
LEILANI VICTORIA AYAKO DOI MAYBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1087 13TH ST SE, HICKORY, NC 28602
(828) 267-1688
Mailing address
1087 13TH ST SE, HICKORY, NC 28602-4165
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
17640
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38131013
DRIVER'S LICENSE
NC
Enumeration date
01/04/2018
Last updated
08/21/2018
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