Individual
MR. ANTHONY DAVID HAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
7894 KAVANAGH CT, SARASOTA, FL 34240-7906
(941) 371-6563
Mailing address
7894 KAVANAGH CT, SARASOTA, FL 34240-7906
(941) 371-6563
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20076
FL
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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