Individual provider · NPI-1
Caitlin Jean Bagot, PTA
Physical Therapy Assistant · Littlestown, PA
NPI number1194237362
StatusActive
Last updated in NPPESNov 19, 2019
Details
- NPI
- 1194237362
- Entity type
- Individual (NPI-1)
- Name
- Caitlin Jean Bagot
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2017
- Last updated
- Nov 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | TEI005354 | PA | Yes |
| 225200000X | Physical Therapy Assistant | A4826 | MD |
Practice location
790 W King St Ste 1Littlestown, PA 17340-1457
Phone 717-359-1928 · Fax 717-359-1929
Mailing address
18 Ringneck TrlFairfield, PA 17320-9600
Phone 717-479-2087
Other practice locations
56 W Frederick St
Walkersville, MD 21793-8254
Walkersville, MD 21793-8254
Phone 301-898-4320
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