Diane Marie Hagan, PT
Individual provider Active NPI Physical Therapist · Hanover, IN
NPI 1902135262 · NPPES record last updated Sep 19, 2012
Key facts
- NPI
- 1902135262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05003127A (IN)
- Practice address
- 7443 S River Bottom Rd
Hanover, IN 47243-9336 - Phone
- (812) 866-5455
- NPI assigned
- Dec 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05003127A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05003127A | IN | Yes |
Addresses
Primary practice location
7443 S River Bottom Rd
Hanover, IN 47243-9336
Mailing address
7443 S River Bottom Rd
Hanover, IN 47243-9336
Phone (812) 866-5455
Other names
- Diane Marie Canter
Other providers in Hanover, IN
- Fast Pace Medical Clinic PLLC
- Barbara A Ford
- Kris Yvonne Fultz
- Christopher Gerard Goeppner
- Ashley Gray
- Harrison County Hospital
- Hook-Superx LLC
- Hoosier Care II
- David Allen Johnson
- Nathan Kampwerth
All providers in Hanover, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.