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Benjamin Hagen, MPT
NPI 1922392448 · on the registry since 2011
Practice
- Address
- 9331 Phoenix Village Pkwy
O Fallon, MO 63368 - Phone
- (636) 561-4793
- Fax
- (636) 561-4811
- Organisation at this address
- Babar Enterprises Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri