Douglas Hagy PT

NPI 1063426914 - Physical Therapist - 225100000X

NPI Details
NPI 1063426914
Gender Male
Enumeration Date 07/28/2006
Last Updated 09/23/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
9100 S SEPULVEDA BLVD
SUITE 116
LOS ANGELES CA, 90045-4814, US
Phone (310) 649-6470
Fax (310) 649-6471
Business Location
9100 S SEPULVEDA BLVD
SUITE 116
LOS ANGELES CA, 90045-4814, US
Phone (310) 649-6470
Fax (310) 649-6471
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT36568
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According to our database, Douglas Hagy PT NPI is 1063426914, taxonomy code is 225100000X and license number is PT36568, license state is located at California. Douglas Hagy PT physically located at 9100 S Sepulveda Blvd, Los Angeles CA, 90045-4814. NPI Number Douglas Hagy PT has the Individual type.

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1063426914 NPI number is provided on an as is basis without warranty of any kind. 1063426914 is maintained by the National Plan & Provider Enumeration System. The contents of Douglas Hagy PT are for informational purposes only.