Individual
MR. HARLAN OSCAR HAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
8615 FREEPORT PKWY, 225, IRVING, TX 75063-2576
(972) 812-3299
Mailing address
1600 AMELIA CT APT 1012, PLANO, TX 75075-6123
(469) 467-6838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207868
TX
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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