| Bagg Therapy Group | |
|
41161 Turkey Oak Dr Aldie VA 20105-5868 | |
| (908) 216-2593 | |
| Not Available |
| Full Name | Bagg Therapy Group |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 41161 Turkey Oak Dr, Aldie, Virginia |
| Authorized Official Name and Position | Patricia Bagg (CEO) |
| Authorized Official Contact | 9082162593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bagg Therapy Group 41161 Turkey Oak Dr Aldie VA 20105-5868 Ph: (908) 216-2593 | Bagg Therapy Group 41161 Turkey Oak Dr Aldie VA 20105-5868 Ph: (908) 216-2593 |
| NPI Number | 1346788189 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346788189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 0133000547 (Virginia) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2202007683 (Virginia) | Primary |
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