Individual
RICHARD HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
345 W 600 S, SUITE #200, HEBER CITY, UT 84032-2247
(435) 654-5607
Mailing address
345 W 600 S, SUITE #200, HEBER CITY, UT 84032-2247
(435) 654-5607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
87518764201
UT
Other
Enumeration date
05/02/2015
Last updated
05/02/2015
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