Individual
DR. ALYSSA MANAMI KODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 PENN ST, EL SEGUNDO, CA 90245-3908
(310) 426-9570
Mailing address
4006 W 179TH ST, TORRANCE, CA 90504-3732
(310) 595-4824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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