Individual
MRS. JERRICA ROSE HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
5570 MAIN ST, WILLIAMSVILLE, NY 14221-5477
(716) 250-4132
(888) 317-0495
Mailing address
2811 PRATT RD, APT A, BATAVIA, NY 14020-9422
(716) 783-2771
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008581-1
NY
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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