Organization
EVELYN JOY KAGAWA
Active
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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