Individual
MRS. RITA T BAGGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9206 WATERSIDE ST, APARTMENT # 213, MIDDLETON, WI 53562-5090
(608) 721-0000
Mailing address
9206 WATERSIDE ST, APT # 213, MIDDLETON, WI 53562-5090
(608) 721-0000
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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