Individual
JESSE DUNN BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 SAFFORD AVE W, THOMASVILLE, AL 36784-3111
(334) 636-1461
(334) 636-1463
Mailing address
1711 COLLEGE AVE, JACKSON, AL 36545-2425
(251) 246-5761
(251) 246-5665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10355
AL
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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