Individual
CAROLE KISHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
55 S RAYMOND AVE, STE 100, ALHAMBRA, CA 91801-7100
(626) 576-0591
(626) 576-5890
Mailing address
55 S RAYMOND AVE, STE 100, ALHAMBRA, CA 91801-7100
(626) 576-0591
(626) 576-5890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 35221
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 35221
PHYSICAL THERAPY BOARD OF CALIFORNIA
CA
Enumeration date
01/25/2010
Last updated
01/25/2010
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