Provider Demographics
NPI:1104544592
Name:OSHIMA, NATSUKO (PT,DPT)
Entity type:Individual
Prefix:
First Name:NATSUKO
Middle Name:
Last Name:OSHIMA
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12511 CANTRELL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-1610
Mailing Address - Country:US
Mailing Address - Phone:501-529-2010
Mailing Address - Fax:
Practice Address - Street 1:12511 CANTRELL RD STE 100
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-1610
Practice Address - Country:US
Practice Address - Phone:501-529-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT5161225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARPT5161OtherARKANSAS STATE BOARD OF PHYSICAL THERAPISTS