Individual
LAUREN BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1123 OXFORD CRES NE, BROOKHAVEN, GA 30319-1624
(404) 247-7959
(404) 393-2447
Mailing address
PO BOX 28528, ATLANTA, GA 30358-0528
(404) 247-7959
(404) 393-2447
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT014895
GA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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