Individual
RACHEL S HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25590 PROSPECT AVE APT 30H, LOMA LINDA, CA 92354-3151
(909) 567-5015
Mailing address
PO BOX 1699, LOMA LINDA, CA 92354-1699
(909) 567-5015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48504
CA
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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