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1235778499
BRENT RYO HISAKA
OAKLAND, CA
NPI
1235778499
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT297227)
Enumeration Date
2020-01-04
Last Update Date
2020-01-04
Business Address
BRENT RYO HISAKA PT, DPT
744 52ND ST
OAKLAND, CA 94609-1810
Phone number: 510-428-3558
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Mailing Address
BRENT RYO HISAKA PT, DPT
4421 WEEPING SPRUCE CT
CONCORD, CA 94521-4442
Phone number: 925-348-7783
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