Theresa Ann Hagman PTA

NPI 1003001561 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1003001561
Gender Female
Enumeration Date 09/07/2007
Last Updated 09/07/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
APPLETON WI, 54911-3454, US
Phone (920) 731-4101
Business Location
PO BOX 2759
APPLETON WI, 54912-2759, US
Phone (920) 830-5900
Fax (920) 830-5910
Taxonomy Code 225200000X
License State
License Number
Remove 1003001561 NPI Number

According to our database, Mrs. Theresa Ann Hagman PTA NPI is 1003001561, taxonomy code is 225200000X Theresa Ann Hagman PTA physically located at 1818 N Meade St, Appleton WI, 54911-3454. NPI Number Theresa Ann Hagman PTA has the Individual type.

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1003001561 NPI number is provided on an as is basis without warranty of any kind. 1003001561 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Ann Hagman PTA are for informational purposes only.