NPI 1992078547

Mohamed Ladak Ismail, PTA

Practitioner Dance Therapist San Francisco, CA

Practice location

Address: 1201 6th Ave #2, San Francisco, CA 94122-2540
Phone: (415) 316-9701

Registered specialties (2)

Dance Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225600000X Licence AT5509 (CA)

Other Dance Therapist providers in California →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in California →

Registry record

NPI: 1992078547
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2012
Record last updated: 13 Feb 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.