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Individual
GISA BAGBY
Active
Individual
GISA BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1341081
TX
Other
Enumeration date
12/29/2020
Last updated
09/12/2022
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