Individual
MS. PRISCILLA H HAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
30 BOKUM RD, ESSEX, CT 06426-1510
(860) 767-4578
Mailing address
30 BOKUM RD, ESSEX, CT 06426-1510
(860) 767-4578
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000590
CT
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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