Alice Chiedzo Hakata, PT. MED.

NPI #1003169301 in Wichita, Kansas

Provider Information

NPI Number: 1003169301
Entity Type: Individual
Name: Alice Chiedzo Hakata, PT. MED.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT. MED.
Enumeration Date: Oct 24, 2012
Last Updated: Oct 24, 2012

Practice Location

Address: 2828 N. GOVERNEOUR, LARKSFIELD PLACE
City: Wichita
State: Kansas
ZIP Code: 67226
Phone: (316) 636-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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