Individual
LYDIA HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3005 APACHE DR, JONESBORO, AR 72401-7432
(870) 336-0238
Mailing address
4296 DENA JO UNIT 152, JONESBORO, AR 72404-7886
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1930
OK
225X00000X
Occupational Therapist
Primary
3377
AR
Other
Enumeration date
04/11/2017
Last updated
05/18/2021
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