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CYAN AGENA PT, DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1710466008

Individual Registrant:
 CYAN  AGENA PT, DPT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
27699 JEFFERSON AVE STE 202  TEMECULA, CA 92590-2697 US
Tel: 951-506-1405  Fax: 951-506-1406

Contact information for business:
24630 WASHINGTON AVE STE 201  MURRIETA, CA 92562-6177 US
Tel: 951-200-3620  Fax: --

Registration Information:
NPI: 1710466008
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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