Provider Demographics
NPI:1750102067
Name:INOMARU ARAKAKI, ALINE
Entity type:Individual
Prefix:
First Name:ALINE
Middle Name:
Last Name:INOMARU ARAKAKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20716 CRYSTAL HILL CIR APT E
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-3955
Mailing Address - Country:US
Mailing Address - Phone:240-401-7318
Mailing Address - Fax:
Practice Address - Street 1:2233 WISCONSIN AVE NW STE 217
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-4140
Practice Address - Country:US
Practice Address - Phone:202-333-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-19
Last Update Date:2024-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPTA2000035225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant