Individual
BRETT HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
20250 N 75TH AVE, GLENDALE, AZ 85308-7935
(623) 432-9965
(623) 243-7646
Mailing address
15508 W BELL RD.,, SUITE 101, PMB 210, SURPRISE, AZ 85374
(623) 432-9965
(623) 243-7646
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13556
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13556
STATE PT LICENSE
AZ
Enumeration date
01/04/2018
Last updated
01/04/2018
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