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KEILYN TANIMOTO DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1801244777

Individual Registrant:
 KEILYN  TANIMOTO DPT
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: --

Contact information for business:
94-1049 HANAUNA ST  WAIPAHU, HI 96797-4702 US
Tel: 808-348-0253  Fax: --

Registration Information:
NPI: 1801244777
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA291346

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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