Organization
SG MIKITA RPT A PHYSICAL THERAPY CORPORATION
Active
Organization
SG MIKITA RPT A PHYSICAL THERAPY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON BISHOP DPT (OWNER)
(818) 368-9484
Entity
Organization
Contact information
Practice address
10718 WHITE OAK AVE, SUITE 2, GRANADA HILLS, CA 91344-4628
(818) 368-9484
(818) 368-8054
Mailing address
10718 WHITE OAK AVE, SUITE 2, GRANADA HILLS, CA 91344-4628
(818) 368-9484
(818) 368-8054
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT28298
CA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
03/26/2008
Last updated
07/30/2025
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