Individual
BRETT HAGEDOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1075 MASON AVE, DAYTONA BEACH, FL 32117-4611
(386) 255-4596
(386) 258-3561
Mailing address
1075 MASON AVE, DAYTONA BEACH, FL 32117-4611
(386) 255-4596
(386) 258-3561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10751
FL
2251X0800X
Orthopedic Physical Therapist
PT10751
FL
Other
Enumeration date
03/14/2007
Last updated
07/30/2019
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