Doctor Name: | MARI IYAMA |
NPI Number: | 1053606434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT, CSCS |
License Number: | 38031 |
Business Practice Address: | 10725 Zelzah Ave Ste B Granada Hills, CA - 913444431 |
Business Phone Number: | 8188328383 |
Business Fax Number: | |
Mailing Address: | 416 E Broadway Unit 407, GLENDALE |
State: | CA |
Postal Code: | 912055502 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/14/2011 |
NPI Last Update Date: | 07/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 38031 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |