Individual
ALLYSON LOUISE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
443 KEMPSVILLE RD, NORFOLK, VA 23502-4797
(757) 455-6158
Mailing address
443 KEMPSVILLE RD, NORFOLK, VA 23502-4797
(757) 455-6158
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62743
NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION
—
Enumeration date
02/23/2021
Last updated
02/23/2021
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