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Individual

MISS JACKLYN ARTATES BAGALAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
3290 N RIDGE RD, SUITE 290, ELLICOTT CITY, MD 21043-3655
(410) 750-9006
Mailing address
3290 N RIDGE RD, SUITE 290, ELLICOTT CITY, MD 21043-3655
(410) 750-9006

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
IL

Other

Enumeration date
04/11/2008
Last updated
04/11/2008
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