Individual
ANJALI KISHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1440 168TH AVE, SAN LEANDRO, CA 94578-2409
(510) 481-6328
Mailing address
31334 SANTA FE WAY, UNION CITY, CA 94587-2848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19732
CA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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