Individual
JANET G BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 CENTER AVE, WARSAW, KY 41095-9754
(502) 548-6563
Mailing address
11305 DEHAM DR, LOUISVILLE, KY 40241-1493
(502) 548-6563
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R2339
KY
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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