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NPI Code Detail

MEDICARE: MRS. GAIL BAGBY OCCUPATIONAL THERAPY

MEDICARE: MRS. GAIL BAGBY OCCUPATIONAL THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational TherapistOT3904

General Provider Information

NPI Number : 1073912598
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GAIL BAGBY OCCUPATIONAL THERAPY
Provider Business Mailing Address
First Line : 100 FRANK RICHARDSON CT
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-5410
Country : US
Telephone Number : 916-681-1913
Fax Number : 916-423-5957
Provider Business Practice Location Address
First Line : 100 FRANK RICHARDSON CT
Second Line :
City : SACRAMENTO
State : CA
Zip : 95823-5410
Country : US
Telephone Number : 916-681-1913
Fax Number : 916-423-5957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2014
Last Update Date : 08/21/2014

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Directions to “ MRS. GAIL BAGBY OCCUPATIONAL THERAPY” Practice Location

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