Individual
MS. SUSAN AKEMI KODAIRA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
200 W SANTA ANA BLVD, SUITE 100, SANTA ANA, CA 92701-4134
(714) 347-0300
Mailing address
110 THE VLG, REDONDO BEACH, CA 90277-2559
(310) 318-9161
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT15268
CA
Other
Enumeration date
05/13/2006
Last updated
07/08/2007
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