Individual
EFFIE HAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4143
(878) 332-4467
Mailing address
12311 PERRY HWY, WEXFORD, PA 15090-8344
(878) 332-4143
(878) 332-4467
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC003958L
PA
225XH1200X
Hand Occupational Therapist
Primary
OC003958L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102270189
—
PA
Enumeration date
01/22/2009
Last updated
01/25/2017
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