Melissa Iwata
Physical Therapist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1982118212
StatusActive
Last updated in NPPESNov 22, 2017
Details
- NPI
- 1982118212
- Entity type
- Individual (NPI-1)
- Name
- Melissa Iwata
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 22, 2017
- Last updated
- Nov 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 13469 | AZ | Yes |
Practice location
4141 N S Herrera WayPhoenix, AZ 85012-1814
Phone 602-248-1550
Mailing address
12857 Breezewood DrLa Mirada, CA 90638-2620
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