MRS. Diane Wendy Hagen, M.P.T

NPI #1437281508 in Taylorsville, Utah

Provider Information

NPI Number: 1437281508
Entity Type: Individual
Name: MRS. Diane Wendy Hagen, M.P.T
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: M.P.T
Enumeration Date: Mar 12, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3845 W 4700 S
City: Taylorsville
State: Utah
ZIP Code: 84118-3454
Phone: (801) 840-2191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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