Individual
AVI BAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1508 W INNES ST, SALISBURY, NC 28144-2504
(704) 630-9656
(704) 630-9658
Mailing address
1508 W INNES ST, SALISBURY, NC 28144-2504
(704) 630-9656
(704) 630-9658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17132
NC
Other
Enumeration date
08/17/2017
Last updated
03/17/2018
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