Individual
ANGELIKA FAITH PEL AGAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12150 INDUSTRY BLVD STE 42, JACKSON, CA 95642-9375
(530) 223-9410
Mailing address
1252 BROADWAY, PLACERVILLE, CA 95667-5822
(530) 223-9410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
301977
CA
Other
Enumeration date
04/21/2022
Last updated
03/19/2026
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