Individual
MRS. JULIE ANN HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
500 SELFRIDGE ST, EAST LIVERPOOL, OH 43920-1978
(330) 385-5001
Mailing address
500 SELFRIDGE ST, EAST LIVERPOOL, OH 43920-1978
(330) 385-5001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA03646
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA03646
OH LICENSURE
OH
Enumeration date
05/26/2012
Last updated
05/26/2012
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