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Individual

ANA MAIRE HAGERTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
3030 S JONES BLVD STE 105, LAS VEGAS, NV 89146-6793
(702) 360-1137
(702) 240-1729
Mailing address
3030 S JONES BLVD, SUITE 105, LAS VEGAS, NV 89146-6792
(541) 255-6213

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1000601
OR
225X00000X
Occupational Therapist
Primary
13-0341
NV

Other

Enumeration date
03/22/2009
Last updated
09/09/2013
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