Hagenah, Angela Marie

Hagenah, Angela Marie is an individual health care provider with primary practice located at 2170 South Ave , South Lake Tahoe CA 96150-7026. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Hagenah, Angela Marie can be contacted via phone (530) 543-5896.

Contact Information

Primary practice address
2170 South Ave South Lake Tahoe CA 96150-7026
Phone: (530) 543-5896
Fax: (530) 544-6512
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X A-0512 Nevada
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 8804 California

Profile Details

NPI number 1447605977
LBN Legal business name Hagenah, Angela Marie
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2016
Last updated Mar 17th, 2018 - about 7 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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