IndividualActive
Agnes Supernavage, PT
NPI 1750424057 · Physical Therapist · Hagerstown, MD
Provider details
- NPI number
- 1750424057
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 15956 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
227 N Cleveland Ave
Hagerstown, MD 21740-5000
Phone: (301) 733-3844
Approximate (ZIP-level) locationGet directions
Mailing address
227 N Cleveland Ave
Hagerstown, MD 21740-5000
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.