Individual
LAURA HAGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
18185
MA
225100000X
Physical Therapist
Primary
3584
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3103219
—
NH
01
—
T400302766
MEDICARE PTAN
NH
Enumeration date
07/21/2008
Last updated
12/15/2016
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