Ms. Amanda L. Hagan
Physical Therapist - Geriatrics
3011 Burlington Ave N
St Petersburg
, Florida 33713-8628
Ms. Amanda L. Hagan
Physical Therapist - Geriatrics
3011 Burlington Ave N
St Petersburg
, Florida 33713-8628
(859) 640-5039
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Ms. Amanda L. Hagan
- 3011 Burlington Ave N
- St Petersburg, FL
- Zip : 33713-8628
- Phone : (859) 640-5039
Second Address
- Ms. Amanda L. Hagan
- 3011 Burlington Ave N
- St Petersburg, FL
- Zip : 33713-8628
- Phone : (859) 640-5039
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 24552 | FL |
National Provider Identifier
| NPI | 1346360005 |
|---|---|
| Provider Name | Ms. Amanda L. Hagan |
| First Address | St Petersburg, FL 33713-8628 |
| Second Address | St Petersburg, FL 33713-8628 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/03/2007 |
| Last Update Date | 20/05/2010 |
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.