Individual
MARILYN A BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 LOOMIS DR, WEST HARTFORD, CT 06107-2037
(860) 521-8700
Mailing address
417 S MAIN ST, TERRYVILLE, CT 06786-6809
(413) 519-8898
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
00026
CT
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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