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Timothy Gagan, PTA
NPI 1386005809 · on the registry since 2016 · sole proprietor
Practice
- Address
- 533 S Fairfax Ave
Los Angeles, CA 90036 - Phone
- (323) 930-4815
- Organisation at this address
- 533 South Fairfax Avenue Inc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-03-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California