Individual
KENNTH TOKUTOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 ARCH ST, REDWOOD CITY, CA 94062-1305
(165) 055-6942
Mailing address
PO BOX 60004, SUNNYVALE, CA 94088-0004
(140) 820-9108
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT6492
CA
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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