Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 11-02216 | KS |
NPI | 1194169813 |
---|---|
Provider Name | Miss Naoko Sato |
First Address | Overland Park, KS 66211-1124 |
Second Address | Lenexa, KS 66215-3353 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2013 |
Last Update Date | 24/04/2013 |