Individual
LARRY HAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
714 W PINE ST, NEWPORT, WA 99156-9046
(509) 447-2441
(509) 447-0456
Mailing address
714 W PINE ST, NEWPORT, WA 99156-9046
(509) 447-2441
(509) 447-0456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004158
WA
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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