Individual
PATRICK KUBOYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2525 BREA BLVD, FULLERTON, CA 92835-2787
(714) 256-1000
Mailing address
375 GLENOAKS ST, BREA, CA 92821-2117
(714) 393-7538
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA50684
CA
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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