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 9 years ago
Practice Location
1818 N MEADE ST
APPLETON WI, 54911-3454, US
Phone (920) 731-4101
Fax
Business Location
PO BOX 2759
APPLETON WI, 54912-2759, US
Phone (920) 830-5900
Fax (920) 830-5910
Toxanomy
Taxonomy Code 225200000X
License State
License Number
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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.