Individual
BRETT NISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
22 CORPORATE PLAZA DR, 113, NEWPORT BEACH, CA 92660-7985
(949) 722-5054
Mailing address
22 CORPORATE PLAZA DR, 113, NEWPORT BEACH, CA 92660-7985
(949) 722-5054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
292777
CA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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