Thomas Hagan

NPI #1003041096 in Enumclaw, Washington

Provider Information

NPI Number: 1003041096
Entity Type: Individual
Name: Thomas Hagan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: May 20, 2009
Last Updated: May 20, 2009

Practice Location

Address: 46409 287TH AVE SE
City: Enumclaw
State: Washington
ZIP Code: 98022-7347
Phone: (360) 829-7242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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