Individual
DANIEL HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
7308 BRIDGEPORT WAY W STE 203, LAKEWOOD, WA 98499-8000
(253) 625-7657
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60830331
WA
Other
Enumeration date
03/07/2018
Last updated
06/18/2024
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