Individual
COLEEN HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
658 KENILWORTH DR, STE 100, TOWSON, MD 21204-2312
(410) 339-4600
(410) 339-4601
Mailing address
658 KENILWORTH DR, STE 100, TOWSON, MD 21204-2312
(410) 339-4600
(410) 339-4601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2228
MD
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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