Individual
THOMAS HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
46409 287TH AVE SE, ENUMCLAW, WA 98022-7347
(360) 829-7242
Mailing address
PO BOX 224, ENUMCLAW, WA 98022-0224
(360) 829-7242
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60084113
WA
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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