Most Relevant Information
Provider Data
| NPI Number: | 1003003161 |
| Provider Name: | KENNETH RANDY PINKERTON MPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT19841 |
Most Important Dates
| Enumeration Date: | 10/02/2007 |
| Last Updated: | 12/08/2010 |
Provider Practice Location
365 W 1ST ST
TUSTIN
CA
927803108
Practice Location Phone/Fax
| Phone: | 7145445565 |
| Fax: | 7145445570 |
Provider Mailing Location
365 W 1ST ST
TUSTIN
CA
927803108
Provider Mailing Phone/Fax
| Phone: | 7145445565 |
| Fax: | 7145445570 |