Individual
COURTNEY NISHIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 BARRANCA PKWY, IRVINE, CA 92604-4698
(949) 936-5000
Mailing address
5050 BARRANCA PKWY, IRVINE, CA 92604-4698
(949) 936-5000
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
10941
CA
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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