Individual
JANET ELAINE BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 S BAXTER AVE, TYLER, TX 75701-2209
(903) 597-2068
Mailing address
802 BROOKHOLLOW DR, WHITE OAK, TX 75693-3326
(903) 746-7736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2015251
TX
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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