Individual
EMILY HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
201 KIMBERLY LN, WILLIAMSTOWN, KY 41097-9458
(859) 824-7803
Mailing address
201 KIMBERLY LN, WILLIAMSTOWN, KY 41097-9458
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
165738
KY
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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