Individual
MR. BRUCE K AKINAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, ATC, HEALTH CERT
Contact information
Practice address
3105 CEDAR RAVINE RD STE 201, PLACERVILLE, CA 95667-6561
(530) 626-2770
(530) 622-7143
Mailing address
3038 CAYENTE WAY, CAMERON PARK, CA 95682-8879
(530) 677-0406
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT10876
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT10876
STATE LICENSE
CA
Enumeration date
10/10/2006
Last updated
07/08/2007
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