Individual
KAREN NISHIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7760 EL CAMINO REAL, CARLSBAD, CA 92009-8553
(760) 634-9750
(760) 634-9752
Mailing address
7760 EL CAMINO REAL, CARLSBAD, CA 92009-8553
(760) 634-9750
(760) 634-9752
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT6467
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT6467
OT LICENSE #
CA
Enumeration date
08/30/2006
Last updated
07/08/2007
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