Individual
MR. KEVIN ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CPT, CSCS
Contact information
Practice address
9150 RESEDA BLVD, NORTHRIDGE, CA 91324
(310) 801-4129
(310) 966-1175
Mailing address
10933 ROCHESTER AVE, SUITE #216, LOS ANGELES, CA 90024
(310) 801-4129
(310) 966-1175
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
97-07-11-003
CA
226300000X
Kinesiotherapist
Primary
97-07-11-003
CA
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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