Individual
ALYSSA BAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151-3743
(262) 782-9015
Mailing address
1655 KELI JEAN CT, HUBERTUS, WI 53033-9534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6019-26
WI
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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