Ismansjah Soekardi, PT

NPI 1215054721 · on the registry since 2007 · sole proprietor

Practice

Address: 6193 Soquel Drive
Aptos, CA 95003
Phone: (831) 462-1212
Fax: (831) 462-1221
Organisation at this address: Dearborn & Associates Institute For Joint Restoration
California Orthopedic & Sports Therapy Rehabilitation Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-10-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California