Individual
KATHLEEN HAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1010 S 336TH ST STE 210, FEDERAL WAY, WA 98003-7354
(866) 835-8091
(888) 835-7102
Mailing address
1010 S 336TH ST STE 210, FEDERAL WAY, WA 98003-7354
(866) 835-8091
(888) 835-7102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60475838
WA
Other
Enumeration date
03/11/2015
Last updated
03/12/2015
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