Individual
BRANDON KUSAKABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3666 KEARNY VILLA RD, SAN DIEGO, CA 92123-1951
(858) 505-5400
Mailing address
6364 OSLER ST, SAN DIEGO, CA 92111-5410
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
CA
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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