Individual
JENNIFER HAGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
851 W LUMSDEN RD, BRANDON, FL 33511-6280
(813) 661-8998
Mailing address
6207 TANAGER PL, TEMPLE TERRACE, FL 33617-9300
(203) 314-8811
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000934
CT
Other
Enumeration date
05/22/2007
Last updated
05/11/2021
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