Individual
NICHOLAS BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1011 MAIN ST, GARDENDALE, AL 35071-5401
(205) 651-4350
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, HOOVER, AL 35242-2660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH11736
AL
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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