Individual
CAITLIN JEAN BAGOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
790 W KING ST STE 1, LITTLESTOWN, PA 17340-1457
(717) 359-1928
(717) 359-1929
Mailing address
18 RINGNECK TRL, FAIRFIELD, PA 17320-9600
(717) 479-2087
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A4826
MD
225200000X
Physical Therapy Assistant
Primary
TEI005354
PA
Other
Enumeration date
10/28/2017
Last updated
11/19/2019
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