Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA E BAGNE, DPT
Active Sole ProprietorTARA E BAGNE, DPT is a Pediatric Occupational Therapy healthcare provider located in HUDSON, Wisconsin. NPI 1700136868 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · HUDSON, WI
Registration Details
- NPI Number
- 1700136868
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 17, 2012 (13.722511202056 yrs)
- Last Updated
- Nov 26, 2019
- License
-
5501015984 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
742 STERBENZ DRHUDSON, WI, 540168327Browse WI providers · Browse ZIP 54016
- Phone
- 7153862128
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.