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Individual
MR. KRISTOPHER RYAN WATANABE
Active
Individual
MR. KRISTOPHER RYAN WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT29007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT29007
LICENSE NUMBER
CA
Enumeration date
02/09/2007
Last updated
02/26/2025
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