Individual
BRITTNEY K TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6177 RIVER CREST DR, SUITE A, RIVERSIDE, CA 92507-0728
(951) 653-4480
Mailing address
6177 RIVER CREST DR, SUITE A, RIVERSIDE, CA 92507-0728
(951) 653-4480
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
43417
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43417
PT LICENSE
CA
Enumeration date
12/11/2015
Last updated
12/11/2015
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