Individual
MRS. JESSA HAGANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1950 CLIFFSIDE DR, STATE COLLEGE, PA 16801-7662
(814) 238-3139
Mailing address
174 ORT VALLEY RD, LEWISTOWN, PA 17044-9733
(717) 348-9213
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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