Individual
JOSIE SUZANNE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 WORKMAN TER, LINCOL, ME 04457
(207) 794-6025
Mailing address
481 PETERSON POINT RD, ST MARIES, ID 83861-8268
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA4827
ME
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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