Individual
SUSAN GAIL HAGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
929 S LOCUST ST, GRAND ISLAND, NE 68801-6751
(308) 382-9700
(308) 382-9898
Mailing address
929 S LOCUST ST, GRAND ISLAND, NE 68801-6751
(308) 382-9700
(308) 382-9898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
2201
NE
225100000X
Physical Therapist
Primary
2201
NE
Other
Enumeration date
06/22/2005
Last updated
09/08/2020
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