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Contact Information

KATHLEEN D HAGEN, PT
16455 E. AVENUE OF THE FOUNTAINS
FOUNTAIN HILLS, AZ85268
 Phone: 480-816-5805
 Fax: 801-495-5303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KATHLEEN D HAGEN · (Female)

NPI # 1114186004
Status Active
Credentials PT (Physical Therapist)
Entity Individual
Enumeration date 06/05/2008
Last updated 03/05/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 7689
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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