Individual
MS. AKEMI TANISAKI RICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5486 WILSHIRE BLVD, LOS ANGELES, CA 90036-4218
(323) 954-8800
Mailing address
11818 GATEWAY BLVD, #5, LOS ANGELES, CA 90064-2756
(310) 980-0273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
35613
CA
Other
Enumeration date
04/23/2009
Last updated
01/23/2017
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