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Kathleen Ikuta, PT
Pediatric Physical Therapist in San Mateo, California
NPI 1396147278

Kathleen Ikuta is a Pediatric Physical Therapist based in San Mateo, CA and is specialized in Pediatrics. Kathleen Ikuta practices in San Mateo, CA and has the professional credentials of PT. The NPI Number for Kathleen Ikuta is 1396147278 and holds a License No. 41709 (California).

The current practice location address for Kathleen Ikuta is 1650 S Amphlett Blvd Ste 108, San Mateo, CA and can be reached out via phone at 650-638-9142 and via fax at 650-638-9141. You can also correspond with Kathleen Ikuta through the mailing address at 1650 S AMPHLETT BLVD STE 108, SAN MATEO, CA - 94402-2514 (mailing address contact number: 650-638-9142).

Location: 1650 S Amphlett Blvd Ste 108, San Mateo, CA, 94402-2514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396147278
Provider Name
Kathleen Ikuta
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1650 S Amphlett Blvd Ste 108, San Mateo, CA, 94402-2514
Phone Number
650-638-9142
Fax Number
650-638-9141
Provider Enumeration Date
09/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1650 S Amphlett Blvd Ste 108
City
San Mateo
State
California
Zip
94402-2514
Phone Number
650-638-9142
Fax Number
650-638-9141
person
Provider Business Mailing Address Details
Address
1650 S Amphlett Blvd Ste 108
City
San Mateo
State
California
Zip
94402-2514
Phone Number
650-638-9142
Fax Number
650-638-9141
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
41709 (California)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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