Individual
DIANE MARIE HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7443 S RIVER BOTTOM RD, HANOVER, IN 47243-9336
(812) 866-5455
Mailing address
7443 S RIVER BOTTOM RD, HANOVER, IN 47243-9336
(812) 866-5455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003127A
IN
Other
Enumeration date
12/16/2009
Last updated
09/19/2012
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