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Individual

ANNA YEMIZ MITSUNAGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
2401 W TURNER RD STE 250, LODI, CA 95242-2192
(209) 334-2224
Mailing address
4230 JASMINE CT, TURLOCK, CA 95382-7288

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
29893
CA
2251G0304X
Geriatric Physical Therapist
29893
CA
2251X0800X
Orthopedic Physical Therapist
29893
CA

Other

Enumeration date
05/14/2007
Last updated
04/07/2010
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