Provider Demographics
NPI:1720257116
Name:BAGGERMAN, JAYMIE GARNER (LOTR, CHT)
Entity Type:Individual
Prefix:MRS
First Name:JAYMIE
Middle Name:GARNER
Last Name:BAGGERMAN
Suffix:
Gender:F
Credentials:LOTR, CHT
Other - Prefix:MS
Other - First Name:JAYMIE
Other - Middle Name:
Other - Last Name:GARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LOTR, CHT
Mailing Address - Street 1:5559 CANAL BLVD.
Mailing Address - Street 2:CITY PARK PHYSICLA THERAPY LLC
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2745
Mailing Address - Country:US
Mailing Address - Phone:504-309-5811
Mailing Address - Fax:504-309-5877
Practice Address - Street 1:5559 CANAL BLVD.
Practice Address - Street 2:CITY PARK PHYSICAL THERAPY LLC
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-2745
Practice Address - Country:US
Practice Address - Phone:504-309-5811
Practice Address - Fax:504-309-5877
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.Z12285225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAOTT.Z12285OtherLSBME