Individual
MS. CHONTELLE LAVON HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 W 71ST ST, TULSA, OK 74132-2117
(877) 673-9286
Mailing address
3800 W 71ST ST, TULSA, OK 74132-2117
(877) 673-9286
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
557
OK
Other
Enumeration date
05/16/2025
Last updated
05/16/2025
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