Individual
KHARIZA MAE C BAGACAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
3615 E JOHN ROWAN BLVD STE 201, BARDSTOWN, KY 40004-3265
(502) 331-4778
Mailing address
3615 E JOHN ROWAN BLVD STE 201, BARDSTOWN, KY 40004-3265
(502) 331-4778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009004
KY
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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