| Laura Jane Bagwell, | |
|
510 Timber Dr E Ste 102, Garner, NC 27529-5285 | |
| (919) 500-5003 | |
| Not Available |
| Full Name | Laura Jane Bagwell |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 510 Timber Dr E Ste 102, Garner, North Carolina |
| 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) | Secondary |
| 225100000X | Physical Therapist | P24080 (North Carolina) | Primary |
| Provider Name | Tidewater Physical Therapy Llc |
|---|---|
| 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 |
|---|---|
| Laura Jane Bagwell, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () - | Laura Jane Bagwell, 510 Timber Dr E Ste 102, Garner, NC 27529-5285 Ph: (919) 500-5003 |
Dr. Kari Kuhn, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12450 Cleveland Rd, Suite 201, Garner, NC 27529 Phone: 919-771-0775 | |
Phytcare Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 811 Us Highway 70 W, Garner, NC 27529 Phone: 919-779-5010 Fax: 919-771-1640 | |
Deanna Smoak, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 868 Timber Dr, Garner, NC 27529 Phone: 984-789-3390 | |
Seraphina Bianca Wong, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 Timber Dr E Ste 102, Garner, NC 27529 Phone: 919-500-5003 | |
Ms. Yvonne Lynn Schaberg, PT, ATC, LAT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Timber Dr E, Suite 214, Garner, NC 27529 Phone: 919-661-2482 Fax: 919-661-2085 | |
Mr. Jill Ellen Kirol, M.S. P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1014 Adams Point Dr, Garner, NC 27529 Phone: 919-359-1323 | |
Vaishali Patel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 Timber Dr E Ste 102, Garner, NC 27529 Phone: 919-500-5003 |