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Individual

CHAD ISAMU NAKAGAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, MS

Contact information

Practice address
2719 LOKER AVE W, CARLSBAD, CA 92010-6678
(760) 918-9200
(760) 918-9203
Mailing address
8778 SPECTRUM CENTER BLVD APT 411, SAN DIEGO, CA 92123-5040
(714) 393-5195

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
300745
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300745
CA PT BOARD
CA
Enumeration date
09/14/2021
Last updated
09/14/2021
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