Provider Demographics
NPI:1407803836
Name:KURIHARA, REIKO ALLYSON (MPT)
Entity Type:Individual
Prefix:MRS
First Name:REIKO
Middle Name:ALLYSON
Last Name:KURIHARA
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4881 DOGWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SEAL BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90740-3046
Mailing Address - Country:US
Mailing Address - Phone:562-244-9485
Mailing Address - Fax:562-594-8680
Practice Address - Street 1:10162 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-4907
Practice Address - Country:US
Practice Address - Phone:714-861-4440
Practice Address - Fax:714-861-4450
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT20506225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist