Individual
MARICEL CASTILLO BAGNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12510 E ILIFF AVE STE 210, AURORA, CO 80014-6377
(303) 862-8853
Mailing address
12510 E ILIFF AVE STE 210, AURORA, CO 80014-6377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/09/2024
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