Individual
BRIAN PAUL HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10689 ASHVIEW DR, FISHERS, IN 46038-7483
(317) 453-1069
Mailing address
10689 ASHVIEW DR, FISHERS, IN 46038-7483
(317) 453-1069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002898
IN
Other
Enumeration date
01/11/2007
Last updated
11/20/2013
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