Individual
MR. DAVID SERGIO BAGLIVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2455 N TAMARACK TRL, BLOOMINGTON, IN 47408-1294
(812) 336-7060
Mailing address
2512 N SKYLINE DR, BLOOMINGTON, IN 47404-1840
(812) 369-7118
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005827A
IN
Other
Enumeration date
12/12/2021
Last updated
12/12/2021
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