Individual
CARLY ANNE NAGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 552-8585
Mailing address
3128 NIMITZ BLVD, SAN DIEGO, CA 92106-2237
(209) 602-3061
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
38315
CA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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