Individual
CRISTIE LEE HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3801 WOODRIDGE BLVD, FAIRFIELD, OH 45014-3598
(513) 874-9933
Mailing address
5076 ELK FAIRWAYS DR, LIBERTY TWP, OH 45011-2084
(513) 894-3613
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT. 005080
OH
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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