Laura Bagwell, | |
8348 Traford Ln Ste 100, West Springfield, VA 22152-1650 | |
(703) 569-7335 | |
Not Available |
Full Name | Laura Bagwell |
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Gender | Female |
Speciality | Physical Therapist |
Location | 8348 Traford Ln Ste 100, West Springfield, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730632555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2305210453 (Virginia) | Primary |
Provider Name | Tidewater Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457389595 PECOS PAC ID: 6406759281 Enrollment ID: O20041019001029 |
Mailing Address | Practice Location Address |
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Laura Bagwell, 8348 Traford Ln Ste 100, West Springfield, VA 22152-1650 Ph: () - | Laura Bagwell, 8348 Traford Ln Ste 100, West Springfield, VA 22152-1650 Ph: (703) 569-7335 |
Savannah Emilee Ashlyn Bailey, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8346 Traford Ln, West Springfield, VA 22152 Phone: 703-913-5705 | |
Megan L Harne, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8348 Traford Ln Ste 100, West Springfield, VA 22152 Phone: 703-569-7335 | |
Yuval Friedman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8348 Traford Ln Ste 100, West Springfield, VA 22152 Phone: 703-569-7335 | |
Erin L Rine, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8348 Traford Ln Ste 100, West Springfield, VA 22152 Phone: 703-569-7335 | |
Cassidy Jolaine Christian, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8348 Traford Ln Ste 100, West Springfield, VA 22152 Phone: 703-569-7335 | |
Paige Levora, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8348 Traford Ln Ste 100, West Springfield, VA 22152 Phone: 703-569-7335 |