Individual
AILLY BOCADO BAGORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
990 E MAIN ST STE 7, BLUE RIDGE, GA 30513-4534
(706) 946-2035
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(866) 518-0283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017472
GA
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/17/2024
Last updated
11/19/2024
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