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ISMANSJAH SOEKARDI, PT

PT

Physical Therapist

NPI: 1215054721IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physical TherapistPrimary

Physical Therapist

Code: 225100000X

PT25843(CA)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 1999

Contact & Hours

Address
6193 SOQUEL DRIVE
APTOS, CA 95003

Quick Facts

NPI
1215054721
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
27

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