Individual
MRS. KATIE HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-8213
Mailing address
1646 OMAHA DR, BISMARCK, ND 58504-7128
(701) 530-8213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1102
ND
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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