Individual
MAKI JUDY NAKAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
20911 EARL ST, TORRANCE, CA 90503-4352
(310) 370-1200
Mailing address
1237 FRANKLIN ST APT 2, SANTA MONICA, CA 90404-1640
(310) 985-2552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51100
CA
Other
Enumeration date
03/30/2021
Last updated
03/30/2021
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