Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rina Utami Gondokusumo

Individual provider Physical Therapist · NPI 1407275738

Rina Utami Gondokusumo is a Physical Therapist in Mill Valley, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

619 E Blithedale Ave
Mill Valley, CA 94941-1482
Phone: (415) 388-5223
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 41178 (CA)

Record details

NPI number1407275738
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESApril 15, 2014

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