Most Relevant Information
Provider Data
| NPI Number: | 1003041096 |
| Provider Name: | THOMAS HAGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | P1 60084113 |
Most Important Dates
| Enumeration Date: | 05/20/2009 |
| Last Updated: | 05/20/2009 |
Provider Practice Location
46409 287TH AVE SE
ENUMCLAW
WA
980227347
Practice Location Phone/Fax
| Phone: | 3608297242 |
| Fax: |
Provider Mailing Location
PO BOX 224
ENUMCLAW
WA
980220224
Provider Mailing Phone/Fax
| Phone: | 3608297242 |
| Fax: |