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Organization

EVELYN JOY KAGAWA

Active
Other names
SIERRA PHYSICAL THERAPY
Organization subpart
No

Provider details

NPI number
Authorized official
EVELYN JOY KAGAWA P.T. (PHYSICAL THERAPIST)
(559) 683-4444
Entity
Organization

Contact information

Practice address
48677 VICTORIA LN, STE 101, OAKHURST, CA 93644-9216
(559) 683-4444
(559) 683-7053
Mailing address
PO BOX 2365, OAKHURST, CA 93644-9216
(559) 683-4444
(559) 683-7053

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT10146
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0PT10146
LICENSE
CA
01
OPT101460
MEDICARE PROVIDER NUMBER
CA
01
P43249
UPIN
CA
Enumeration date
02/26/2007
Last updated
07/18/2008
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