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Contact Information

AMANDA L HAGAN, PT
3011 BURLINGTON AVE N
SAINT PETERSBURG, FL33713-8628
 Phone: 859-640-5039
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AMANDA L HAGAN · (Female)

NPI Number 1346360005
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 03/29/2007
Last updated 05/20/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 24552
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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