Doctor Name: | JENNIFER HAAG |
NPI Number: | 1043457419 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 11083-024 |
Business Practice Address: | 917 Beville Rd Suite G South Daytona, FL - 321191712 |
Business Phone Number: | 3867564395 |
Business Fax Number: | 8664262811 |
Mailing Address: | 3602 W Southwood Dr, FRANKLIN |
State: | WI |
Postal Code: | 531329140 |
Phone Number: | 4145597842 |
Fax Number: | 8664262811 |
NPI Enumeration Date: | 01/07/2009 |
NPI Last Update Date: | 01/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 11083-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |