Hagen, Grace Ann
Hagen, Grace Ann is an individual health care provider with primary practice located at 4150 Laclede , St Louis MO 63108. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Hagen, Grace Ann can be contacted via phone (314) 531-8148.Contact Information
Primary practice address
4150 Laclede
St Louis MO 63108
Phone: (314) 531-8148
Fax: (314) 531-5874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | 2001006557 | Missouri |
Profile Details
| NPI number | 1780657072 |
|---|---|
| LBN Legal business name | Hagen, Grace Ann |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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