Individual
MRS. CAROL TOMIYE HANAKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
921 S BEACON ST, FLOOR 2, SAN PEDRO, CA 90731-3740
(562) 682-2571
Mailing address
12042 DAVENPORT RD, LOS ALAMITOS, CA 90720-4315
(562) 682-2571
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7272
CA
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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