MS. Kelly A Bagdassian
MS. Kelly A Bagdassian is an Occupational Therapist in Private Practice in Racine, Wisconsin. Qualified in 2000, 26 years ago. Practices as a sole proprietor. Licensed in Illinois.
- Years since qualifying
- 26
- Licensed in
- IL
- In the registry since
- 2012
Practice location Address checks out
1302 Melvin AveRacine, WI 53402-4150
Phone: (262) 412-8320
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 056.006671 (IL) |
|---|
Record details
| NPI number | 1891061719 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 25, 2012 |
| Last updated in NPPES | March 25, 2012 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Racine
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