Individual
ERIN M HAGEDORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
500 SALISBURY ST, WORCESTER, MA 01609-1265
(508) 767-7421
Mailing address
20 EDGEWOOD ST, APT 3, WORCESTER, MA 01602-3333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2261
MA
2255A2300X
Athletic Trainer
AT 765
KY
Other
Enumeration date
10/30/2009
Last updated
01/18/2012
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