Individual
ANNETTE HAGGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
66 S 12TH ST, TERRE HAUTE, IN 47807-3941
(812) 299-9900
Mailing address
1716 COBBLESTONE WAY N, TERRE HAUTE, IN 47802-4283
(731) 676-7258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004852A
IN
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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