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Individual

KOURTNEY MITANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
6668 OWENS DR, PLEASANTON, CA 94588-3334
(925) 621-2200
Mailing address
6668 OWENS DR, PLEASANTON, CA 94588-3334

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49498
CA

Other

Enumeration date
09/18/2018
Last updated
09/18/2018
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