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Individual

NISHA PAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, PT, NCS

Contact information

Practice address
4301 ATLANTIC AVE, SUITE 6, LONG BEACH, CA 90807-2833
(562) 281-7369
(562) 296-4963
Mailing address
4301 ATLANTIC AVE, SUITE 6, LONG BEACH, CA 90807-2833
(562) 281-7369
(562) 296-4963

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2251N0400X
Neurology Physical Therapist
PT29070
CA
2251P0200X
Pediatric Physical Therapist
Primary
PT29070
CA

Other

Enumeration date
09/08/2009
Last updated
09/20/2016
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