Jasselle Bagang, PT

NPI #1821392804 in Benbrook, Texas

Provider Information

NPI Number: 1821392804
Entity Type: Individual
Name: Jasselle Bagang, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PT
Enumeration Date: Jan 5, 2011
Last Updated: Jan 5, 2011

Practice Location

Address: 5909 BEVERLY DR E
Address 2: 2126
City: Benbrook
State: Texas
ZIP Code: 76132-5808
Phone: (817) 903-1920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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