Individual
MRS. MARY J HAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
200 ELIZABETH ST, CHARLESTON, WV 25311-2119
(304) 348-7740
Mailing address
5310 EDGEBROOK DR, CROSS LANES, WV 25313-1725
(304) 776-4515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005
WV
251300000X
Local Education Agency (LEA)
005
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00401730121
—
WV
Enumeration date
05/23/2007
Last updated
09/11/2025
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