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NPI Code Detail

MEDICARE: DEBRA HAGEL-WOLLMAN PT

MEDICARE:   DEBRA  HAGEL-WOLLMAN  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT12083CA

General Provider Information

NPI Number : 1306058797
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA HAGEL-WOLLMAN PT
Provider Business Mailing Address
First Line : 4 WANDERLUST CT
Second Line :
City : HENDERSON
State : NV
Zip : 89012-7292
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4 WANDERLUST CT
Second Line :
City : HENDERSON
State : NV
Zip : 89012-7292
Country : US
Telephone Number : 818-399-4117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2007
Last Update Date : 03/11/2024

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Directions to “ DEBRA HAGEL-WOLLMAN PT” Practice Location

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