Individual
JEREMY WILLIAM HAGADORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
133 W MAIN ST STE 120, NORTHVILLE, MI 48167-1548
(248) 347-1168
(248) 347-1252
Mailing address
9368 N LILLEY RD, PLYMOUTH, MI 48170-4610
(248) 347-1168
(248) 347-1252
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4560
NH
225100000X
Physical Therapist
Primary
5501020172
MI
Other
Enumeration date
08/27/2019
Last updated
08/20/2021
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