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Alexia Kate Agamata, PT, DPT, CSCS Valid NPI

Individual provider · Physical Therapist · Costa Mesa, CA

NPI
1104509850
Type
Individual (Type 1)
Primary specialty
Physical Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225100000X
License number
304407 (CA)
Sex
Female
Sole proprietor
Yes
Enumerated
2023-08-09
Last updated
2023-08-09
Practice location
2075 Newport Blvd Ste 107
Costa Mesa, CA 92627-2179
(949) 836-5239

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