Individual
CARRIE HAGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
100 W OXMOOR RD, SUITE 180, BIRMINGHAM, AL 35209-6329
(205) 313-2800
(250) 313-2800
Mailing address
100 W OXMOOR RD, SUITE 180, BIRMINGHAM, AL 35209-6329
(205) 313-2800
(250) 313-2800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3939
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-42079
BCBS
AL
01
—
515-42080
BCBS
AL
01
—
515-42081
BCBS
AL
Enumeration date
08/24/2007
Last updated
08/24/2007
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