| Doctor Name: | MS. KATHERINE M. BAGNATO |
| NPI Number: | 1215965926 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ATC, OTC, CEAS |
| License Number: | 25MT00056400 |
| Business Practice Address: | 2500 English Creek Ave Atlanticare Health Services - Lifecenter Bldg 200 Egg Harbor Township, NJ - 082345549 |
| Business Phone Number: | 6094072269 |
| Business Fax Number: | 6094072255 |
| Mailing Address: | 33 N Mount Airy Ave, EGG HARBOR TOWNSHIP |
| State: | NJ |
| Postal Code: | 082345950 |
| Phone Number: | 6096010565 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2006 |
| NPI Last Update Date: | 10/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246Z00000X |
| License Number: | 25MT00056400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |