Individual
MR. JOHN NISBET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
200 PORTER DR, SUITE 101, SAN RAMON, CA 94583-1587
(925) 838-1440
Mailing address
200 PORTER DR, SUITE 101, SAN RAMON, CA 94583-1587
(925) 838-1440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT6596
CA
2251X0800X
Orthopedic Physical Therapist
Primary
PT6596
CA
Other
Enumeration date
03/02/2006
Last updated
04/26/2010
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