TARA E BAGNE

HUDSON, WI
NPI1700136868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: MI  5501015984)
Enumeration Date2012-09-17
Last Update Date2019-11-26
Business Address
TARA E BAGNE DPT
742 STERBENZ DR
HUDSON, WI 54016-8327
Phone number: 715-386-2128
Mailing Address
TARA E BAGNE DPT
8077 155TH LN NW
RAMSEY, MN 55303-3888
Phone number: 715-821-0684