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NPI Code Detail

MEDICARE: BAILIE CAGIGAL OTD, OTR/L

MEDICARE: BAILIE CAGIGAL OTD, OTR/L
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
1225X00000XOccupational TherapistIL
2225XP0200XPediatric Occupational TherapistIL
3225XP0200XPediatric Occupational TherapistTX

General Provider Information

NPI Number : 1568182459
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAILIE CAGIGAL OTD, OTR/L
Provider Business Mailing Address
First Line : 3840 HULEN ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7277
Country : US
Telephone Number : 817-569-4540
Fax Number :
Provider Business Practice Location Address
First Line : 3840 HULEN ST STE 100
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-7269
Country : US
Telephone Number : 817-569-4540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2022
Last Update Date : 01/27/2026

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