Individual
JUSTIN BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 FAIRWAY DR. STE. 102, BUTTERFLY EFFECTS LLC, DEERFIELD BEACH, FL 33441-1624
(888) 880-9270
Mailing address
500 FAIRWAY DR. STE. 102, BUTTERFLY EFFECTS LLC, DEERFIELD BEACH, FL 33441-1624
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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