Brenton Mikito Micah Kanno

NPI #1619546439 in Marina, California

Provider Information

NPI Number: 1619546439
Entity Type: Individual
Name: Brenton Mikito Micah Kanno
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 24, 2021
Last Updated: Jun 29, 2021

Practice Location

Address: 292 RESERVATION RD
City: Marina
State: California
ZIP Code: 93933-3110
Phone: (831) 883-8542

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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