Most Relevant Information
Provider Data
| NPI Number: | 1003359589 |
| Provider Name: | MARSHALL HAGINS PT, PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 010574-1 |
Most Important Dates
| Enumeration Date: | 12/01/2016 |
| Last Updated: | 12/01/2016 |
Provider Practice Location
108 PROSPECT PL
GROUNDFLOOR
BROOKLYN
NY
112172864
Practice Location Phone/Fax
| Phone: | 3478048512 |
| Fax: |
Provider Mailing Location
108 PROSPECT PL
APT 1
BROOKLYN
NY
112172864
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |