Individual
MRS. ANGELINE CANDACE HAGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT OTR/L
Contact information
Practice address
2320 N 2ND ST, CLINTON, IA 52732-2434
(563) 243-2285
Mailing address
2320 N 2ND ST, CLINTON, IA 52732-2434
(563) 243-2285
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01521
IA
225X00000X
Occupational Therapist
056.006796
IL
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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