Individual
NISHA PAGAN
Active
Individual
NISHA PAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT, NCS
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
Update your record
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