Individual
BRENT RYO HISAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
744 52ND ST, OAKLAND, CA 94609-1810
(510) 428-3558
Mailing address
4421 WEEPING SPRUCE CT, CONCORD, CA 94521-4442
(925) 348-7783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT297227
CA
Other
Enumeration date
01/04/2020
Last updated
01/04/2020
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