Provider Demographics
NPI:1033387428
Name:KUAMOO, ALIKA KAILI
Entity Type:Individual
Prefix:
First Name:ALIKA
Middle Name:KAILI
Last Name:KUAMOO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BROMLEY CT
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2849
Mailing Address - Country:US
Mailing Address - Phone:650-878-8239
Mailing Address - Fax:
Practice Address - Street 1:19 BROMLEY COURT
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2849
Practice Address - Country:US
Practice Address - Phone:650-878-8239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist