Provider Demographics
NPI:1053469288
Name:BAGLIA, CAROL ANN (RRT)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:ANN
Last Name:BAGLIA
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7097 BRIGHTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-2170
Mailing Address - Country:US
Mailing Address - Phone:440-357-5834
Mailing Address - Fax:440-357-5864
Practice Address - Street 1:7097 BRIGHTWOOD DR
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-2170
Practice Address - Country:US
Practice Address - Phone:440-357-5834
Practice Address - Fax:440-357-5864
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH871192279E1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279E1000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredEducational