Individual
ALEXIA KATE AGAMATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
2075 NEWPORT BLVD STE 107, COSTA MESA, CA 92627-2179
(949) 836-5239
(949) 301-9608
Mailing address
27 HAWKSMOOR, ALISO VIEJO, CA 92656-1536
(949) 351-3008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304407
CA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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