Grace Ann Hagen is a Pediatrics in St Louis, Missouri. Grace Ann Hagen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Grace Ann Hagen is 1780657072. The last update date is 2007-07-08.
Grace Ann Hagen's current location address is 4150 Laclede, St Louis, Missouri. You can contact this provider via phone number 3145318148 and fax number 3145315874. The mailing address for Grace Ann Hagen is 4150 Laclede, St Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Ann Hagen |
|---|---|
| Address | 4150 Laclede, St Louis, Missouri |
| Phone Number | 3145318148 |
| Fax Number | 3145315874 |
| Sole Proprietor | X |
| Credentials | MPT |
NPI Number Detail
| NPI Number | 1780657072 |
|---|---|
| Provider Enumeration Date | 2006-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4150 Laclede |
|---|---|
| City | St Louis |
| State | Missouri (MO) |
| Post Code | 63108 |
| Phone Number | 3145318148 |
| Fax Number | 3145315874 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | 2001006557 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique 10-digit identification code issued to Grace Ann Hagen by the Centers for Medicare & Medicaid Services?
The Grace Ann Hagen has been assigned the NPI (National Provider Identifier) 1780657072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Grace Ann Hagen?
The Grace Ann Hagen is physically situated at 4150 Laclede, in the city of St Louis, state of MO, with the postal code 63108.
What is the Grace Ann Hagen's specialty and taxonomy code?
The Grace Ann Hagen's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
When was the Grace Ann Hagen's 1780657072 issued?
The Grace Ann Hagen's 1780657072 was issued on 2006-02-08.
As of what date were the details pertaining to Grace Ann Hagen last refreshed?
The information related to the Grace Ann Hagen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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