Individual
MRS. THERESA EILEEN IWASAKI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 W SANTA ANA BLVD, #100, SANTA ANA, CA 92701-4134
(714) 647-0300
Mailing address
6109 WARWOOD ROAD, LAKEWOOD, CA 90713
(562) 420-6412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT25336
CA
2251P0200X
Pediatric Physical Therapist
Primary
PT25336
CA
Other
Enumeration date
05/16/2006
Last updated
09/11/2025
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