Individual
VICKI HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
306 BOLIN DR, TOPPENISH, WA 98948-1644
(509) 945-4426
Mailing address
306 BOLIN DR, TOPPENISH, WA 98948-1644
(509) 945-4426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60167278
WA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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