Individual
PAMELA KISSEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 NEWPORT CENTER DR STE 213, NEWPORT BEACH, CA 92660-7503
(949) 644-1322
Mailing address
2103 CRESTA DR, NEWPORT BEACH, CA 92660-4610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6199
CA
Other
Enumeration date
07/22/2025
Last updated
07/28/2025
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