Individual
MR. BRIAN SCOTT HAGENBUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1896 LEITHSVILLE RD, HELLERTOWN, PA 18055-2505
(610) 838-7901
Mailing address
4082 SAUCONIA RD, COOPERSBURG, PA 18036-1009
(610) 282-4441
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012905L
PA
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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