Individual
TAMIKO HIRASAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2726 E ACOMA DR, PHOENIX, AZ 85032-4900
(602) 418-8264
(602) 482-9498
Mailing address
2726 E ACOMA DR, PHOENIX, AZ 85032-4900
(602) 418-8264
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
3338
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
310615
—
AZ
Enumeration date
12/20/2006
Last updated
06/26/2013
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