Michael Chad Bagwell
NPI #1326275611 in Charleston, Mississippi
Provider Information
- NPI Number
- 1326275611
- Entity Type
- Individual
- Name
- Michael Chad Bagwell
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jun 15, 2009
- Last Updated
- Jun 16, 2011
Practice Location
- Address
- 201 S MARKET ST
- City
- Charleston
- State
- Mississippi
- ZIP Code
- 38921-2236
- Phone
- (662) 760-7117
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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