Individual
MRS. SYVANA HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1611 SIERRA DR S, EAU CLAIRE, WI 54701-7927
(715) 314-0316
Mailing address
1611 SIERRA DR S, EAU CLAIRE, WI 54701-7927
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2463-19
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2463-19
LICENSE
WI
Enumeration date
05/18/2016
Last updated
05/18/2016
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