Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 0011552 | CO |
NPI | 1093122442 |
---|---|
Provider Name | Yukiko Makihara |
First Address | Denver, CO 80211-3601 |
Second Address | Denver, CO 80211-3601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2014 |
Last Update Date | 25/07/2014 |