Idaho
Division of Occupational and Professional Licenses
MR. KIYOSHI R NAGASAWA
Physical Therapy Licensure Board - Physical Therapist
License number
PT - 4667
Date granted
04/07/2016
Date expires
02/19/2018
Class
Physical Therapy Licensure Board - Physical Therapist
Status
Current
Address
AGOURA HILLS CA 91301
idaholicensing.com
ID 43732455
LAST UPDATED 2026-03-27 07:48:26 UTC
LAST UPDATED 2026-03-27 07:48:26 UTC
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