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Organization
HAGEN MOVEMENT INSTITUTE
Active
Organization
HAGEN MOVEMENT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK HAGEN PT (OWNER)
(585) 340-7336
Entity
Organization
Contact information
Practice address
1630 SHALLOW CREEK TRL, WEBSTER, NY 14580-9605
(585) 340-7336
(585) 397-1947
Mailing address
1630 SHALLOW CREEK TRL, WEBSTER, NY 14580-9605
(585) 340-7336
(585) 397-1947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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