Individual
MR. KEVIN KEI OKURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
500 W GLENOAKS BLVD, GLENDALE, CA 91202-2813
(818) 637-2127
(818) 637-2126
Mailing address
1449 N WILSON AVE, PASADENA, CA 91104-2446
(626) 794-0079
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT17367
CA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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