Individual
MR. KEVIN ISAACS
Active
Individual
MR. KEVIN ISAACS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CPT, CSCS
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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