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CAITLIN JEAN BAGOT PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1194237362

Individual Registrant:
 CAITLIN JEAN BAGOT PTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
790 W KING ST STE 1  LITTLESTOWN, PA 17340-1457 US
Tel: 717-359-1928  Fax: 717-359-1929

Contact information for business:
18 RINGNECK TRL  FAIRFIELD, PA 17320-9600 US
Tel: 717-479-2087  Fax: --

Registration Information:
NPI: 1194237362
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
MDA4826
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
PATEI005354

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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