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KEILYN TANIMOTO DPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1801244777
Individual Registrant: KEILYN TANIMOTO DPT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
5425 POMONA BLVD EAST LOS ANGELES, CA 90022-1716 US
Tel: 401-662-6114 Fax: --
Tel: 401-662-6114 Fax: --
Contact information for business:
94-1049 HANAUNA ST WAIPAHU, HI 96797-4702 US
Tel: 808-348-0253 Fax: --
Tel: 808-348-0253 Fax: --
Registration Information:
NPI: 1801244777
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | 291346 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
