Diane Marie Hagan, PT

NPI #1902135262 in Hanover, Indiana

Provider Information

NPI Number: 1902135262
Entity Type: Individual
Name: Diane Marie Hagan, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 16, 2009
Last Updated: Sep 19, 2012

Practice Location

Address: 7443 S RIVER BOTTOM RD
City: Hanover
State: Indiana
ZIP Code: 47243-9336
Phone: (812) 866-5455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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