Individual
MARISSA DANIELLE HAGENBRUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
911 B ST STE 102, CHESAPEAKE, VA 23324-2462
(757) 548-0014
(757) 351-1930
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP051288T
VA
225100000X
Physical Therapist
P21503
NC
Other
Enumeration date
08/02/2022
Last updated
04/20/2026
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