Kenneth Randy Pinkerton, MPT
Physical Therapist in Tustin, CA. Individual provider (NPI-1).
NPI number1003003161
StatusActive
Last updated in NPPESDec 8, 2010
Details
- NPI
- 1003003161
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kenneth Randy Pinkerton
- Credential
- MPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2007
- Last updated
- Dec 8, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT19841 | CA | Yes |
Practice location
365 W 1st StTustin, CA 92780-3108
Phone 714-544-5565 · Fax 714-544-5570
Mailing address
365 W 1st StTustin, CA 92780-3108
Phone 714-544-5565 · Fax 714-544-5570
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