Mrs. Theresa Ann Hagman
Physical Therapy Assistant
1818 N Meade St
Appleton
, Wisconsin 54911-3454
Mrs. Theresa Ann Hagman
Physical Therapy Assistant
1818 N Meade St
Appleton
, Wisconsin 54911-3454
(920) 830-5910
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Theresa Ann Hagman
- Po Box 2759
- Appleton, WI
- Zip : 54912-2759
- Fax : (920) 830-5910
- Phone : (920) 830-5900
Second Address
- Mrs. Theresa Ann Hagman
- 1818 N Meade St
- Appleton, WI
- Zip : 54911-3454
- Phone : (920) 731-4101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | ||
| Y | 225200000X | Physical Therapy Assistant | 86-019 | WI |
National Provider Identifier
| NPI | 1003001561 |
|---|---|
| Provider Name | Mrs. Theresa Ann Hagman |
| First Address | Appleton, WI 54912-2759 |
| Second Address | Appleton, WI 54911-3454 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/09/2007 |
| Last Update Date | 07/09/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.