Individual
CHRISTINE ANN HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
90 MAIN ST, BURLINGTON, VT 05401-8419
(802) 861-6700
Mailing address
90 MAIN ST, BURLINGTON, VT 05401-8419
(802) 861-6700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400072108
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019144
—
VT
Enumeration date
03/01/2007
Last updated
11/08/2012
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