Individual
DR. BENJAMIN BAGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1706 KEOKUK AVE, INDEPENDENCE, IA 50644-9227
(319) 327-1332
Mailing address
1706 KEOKUK AVE, INDEPENDENCE, IA 50644-9227
(319) 327-1332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
091982
IA
Other
Enumeration date
09/04/2018
Last updated
01/14/2019
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