| Doctor Name: | PAUL HAGAN |
| NPI Number: | 1033500434 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PTA |
| License Number: | TE010496 |
| Business Practice Address: | 8100 Washington Ln Wyncote, PA - 190951600 |
| Business Phone Number: | 2155768000 |
| Business Fax Number: | 2155768000 |
| Mailing Address: | 8100 Washington Ln, WYNCOTE |
| State: | PA |
| Postal Code: | 190951600 |
| Phone Number: | 2155768000 |
| Fax Number: | 2155768000 |
| NPI Enumeration Date: | 02/07/2015 |
| NPI Last Update Date: | 02/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | TE010496 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |