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Alyssa Bagnall, MOT
NPI 1124454970 · on the registry since 2013 · sole proprietor
Practice
- Address
- 2370 Stillwater Ave E Apt 303
Maplewood, MN 55119 - Phone
- (641) 208-7033
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota