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Individual

BARBARA ORR PAGILLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
460 LONGLEAF DR, ROSWELL, GA 30075-4322
(678) 860-8289
(770) 642-7096
Mailing address
460 LONGLEAF DR, ROSWELL, GA 30075-4322
(678) 860-8289
(770) 642-7096

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT004842
GA
235Z00000X
Speech-Language Pathologist
Primary
PCET001860
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000696154B
GA
05
909868810D
GA
Enumeration date
01/06/2007
Last updated
01/03/2013
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