Individual
LEAH HAGEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-OTR
Contact information
Practice address
1153 PORTLAND PL APT 2, BOULDER, CO 80304-8220
(303) 641-1928
Mailing address
1153 PORTLAND PL APT 2, BOULDER, CO 80304-8220
(303) 641-1928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1017985
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92235255
—
CO
Enumeration date
08/16/2006
Last updated
02/20/2024
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