Individual
PAUL HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8100 WASHINGTON LN, WYNCOTE, PA 19095-1600
(215) 576-8000
(215) 576-8000
Mailing address
8100 WASHINGTON LN, WYNCOTE, PA 19095-1600
(215) 576-8000
(215) 576-8000
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
TE010496
PA
Other
Enumeration date
02/07/2015
Last updated
02/07/2015
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