Individual
MS. DENISE MAE HAGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1562 MOCKINGBIRD LN, OSAGE BEACH, MO 65065-2417
(620) 655-9461
Mailing address
1562 MOCKINGBIRD LN, OSAGE BEACH, MO 65065-2417
(620) 655-9461
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2012016604
MO
Other
Enumeration date
05/16/2012
Last updated
09/21/2014
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