Individual
VALERIE BROCKEL HAGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
9403 WILLOW TREE LN, CHARLOTTE, NC 28277-4693
(410) 409-9504
Mailing address
9403 WILLOW TREE LN, CHARLOTTE, NC 28277-4693
(410) 409-9504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7616
NC
Other
Enumeration date
02/05/2007
Last updated
02/18/2011
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