Individual
KIYOKO OKUHAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
919 FREEDOM BLVD, WATSONVILLE, CA 95076-3804
(831) 722-3581
Mailing address
919 FREEDOM BLVD, WATSONVILLE, CA 95076-3804
(831) 722-3581
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT1302
CA
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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