Provider Demographics
NPI:1528527843
Name:BAGLIA, ANDREW PAUL (MOTR/L)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:PAUL
Last Name:BAGLIA
Suffix:
Gender:M
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 HILLTOP LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28722-3455
Mailing Address - Country:US
Mailing Address - Phone:828-676-9610
Mailing Address - Fax:
Practice Address - Street 1:303 SPINDALE PLAZA DR
Practice Address - Street 2:
Practice Address - City:SPINDALE
Practice Address - State:NC
Practice Address - Zip Code:28160-1963
Practice Address - Country:US
Practice Address - Phone:828-286-4125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-16
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12025225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist