MICHAEL CHAD BAGWELL

CHARLESTON, MS
NPI1326275611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA 4035)
Enumeration Date2009-06-15
Last Update Date2011-06-16
Business Address
-- MICHAEL CHAD BAGWELL
201 S MARKET ST
CHARLESTON, MS 38921-2236
Phone number: 662-760-7117
Mailing Address
-- MICHAEL CHAD BAGWELL
201 S MARKET ST
CHARLESTON, MS 38921-2236
Phone number: 662-760-7117