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Individual

DR. JEFFERY HATCHER-FAGAN II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSOT, OTR/L, OTD

Contact information

Practice address
600 19TH ST S, BIRMINGHAM, AL 35233
(205) 934-3201
Mailing address
2085 EDGEWOOD DR, MOODY, AL 35004-3250
(205) 937-3905

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4171
AL
225XL0004X
Low Vision Occupational Therapist
4171
AL

Other

Enumeration date
03/16/2022
Last updated
03/25/2022
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