| Organization Name: | EVELYN JOY KAGAWA |
| NPI Number: | 1144356981 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVELYN JOY KAGAWA (PHYSICAL THERAPIST) |
| Mailing Address: | 48677 Victoria Ln Ste 101 Oakhurst |
| State: | CA US |
| Postal Code: | 936449216 |
| Phone Number: | 5596834444 |
| Fax Number: | 5596837053 |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 07/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | PT10146 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |