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1811216963
TAKAKO NISHIMOTO
SANTA ANA, CA
NPI
1811216963
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT35638)
Enumeration Date
2010-05-27
Last Update Date
2021-11-23
Business Address
TAKAKO NISHIMOTO MPT
1206 E 17TH ST SUITE 204
SANTA ANA, CA 92701-2641
Phone number: 714-835-3500
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Mailing Address
TAKAKO NISHIMOTO MPT
PO BOX 27294
ANAHEIM, CA 92809-0108
Phone number: 714-835-3500
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