Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | HI |
NPI | 1003151762 |
---|---|
Provider Name | Michiyo Kato |
First Address | Honolulu, HI 96821-2556 |
Second Address | Honolulu, HI 96821-2556 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2012 |
Last Update Date | 06/12/2012 |