Mr. PAUL MARTIN BAGNELL COTA/L ⚕️ Virginia 1285086454

NPI	1285086454
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	224Z00000X Occupational Therapy Assistant (Licence: VA 0131-001616)
Enumeration Date	2016-07-12
Last Update Date	2016-07-12

Mr. PAUL MARTIN BAGNELL COTA/L

4920 WOODMAR DR SW

ROANOKE, VA 24018-1651

Phone number: 540-400-0897

Mr. PAUL MARTIN BAGNELL COTA/L

3303 CIRCLE BROOK DR APT L

ROANOKE, VA 24018-8214

Phone number: 703-853-4584