Individual
LARRY DOUGLAS BAGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5136 BONNER DR, HILLIARD, OH 43026-8933
(614) 313-3437
Mailing address
5136 BONNER DR, HILLIARD, OH 43026-8933
(614) 313-3437
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
16050
OH
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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