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Individual

MRS. RITA T BAGGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
11185-024
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11185-024
PHYSICAL THERAPY LICENSE
WI
01
15921
PHYSICAL THERAPY MA LICENSE
MA
Enumeration date
05/11/2010
Last updated
05/11/2010
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