Nicholas Hagebusch

NPI #1346024015 in Claremore, Oklahoma

Provider Information

NPI Number: 1346024015
Entity Type: Individual
Name: Nicholas Hagebusch
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 23, 2023
Last Updated: Aug 23, 2023

Practice Location

Address: 1110 W WILL ROGERS BLVD
City: Claremore
State: Oklahoma
ZIP Code: 74017-5421
Phone: (918) 341-4343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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