Mohamed Ladak Ismail, PTA
NPI #1992078547 in San Francisco, California
Provider Information
- NPI Number
- 1992078547
- Entity Type
- Individual
- Name
- Mohamed Ladak Ismail, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dance Therapist
- Credential
- PTA
- Enumeration Date
- Feb 13, 2012
- Last Updated
- Feb 13, 2012
Practice Location
- Address
- 1201 6TH AVE
- Address 2
- #2
- City
- San Francisco
- State
- California
- ZIP Code
- 94122-2540
- Phone
- (415) 316-9701
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Dance Therapist |
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