Individual
MR. RYAN KATSUMI KISHIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
200 E DEL MAR BLVD STE 302, PASADENA, CA 91105-2552
(626) 683-8536
Mailing address
200 E DEL MAR BLVD STE 302, PASADENA, CA 91105-2552
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 33864
CA
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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