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Individual

ASHLEY BRITTNEY HAGLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
3100 CLUB DR, LAWRENCEVILLE, GA 30044-2591
(770) 923-3100
(770) 277-1799
Mailing address
3100 CLUB DR, LAWRENCEVILLE, GA 30044-2591
(770) 923-3100
(770) 277-1799

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2794
AL
224Z00000X
Occupational Therapy Assistant
Primary
OTA001285
GA

Other

Enumeration date
06/28/2016
Last updated
07/07/2016
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