Ismansjah Soekardi, PT
NPI #1215054721 in Aptos, California
Provider Information
- NPI Number
- 1215054721
- Entity Type
- Individual
- Name
- Ismansjah Soekardi, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Oct 4, 2018
Practice Location
- Address
- 6193 SOQUEL DRIVE
- City
- Aptos
- State
- California
- ZIP Code
- 95003
- Phone
- (831) 462-1212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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