Individual
MYLENE BAGUIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
1307 HADEN STREET, AVA, MO 65608-5105
(417) 683-3380
(417) 683-3386
Mailing address
1307 HADEN STREET, AVA, MO 65608-5105
(417) 683-3380
(417) 683-3386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R0891
MO
Other
Enumeration date
05/08/2007
Last updated
02/04/2022
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