Individual
BROOKE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9307 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-1570
(253) 201-1234
Mailing address
1070 MCDONALD AVE, DUPONT, WA 98327-9755
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61394064
WA
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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