Tessa Nicole Hagen, MOT, OTR/L
Occupational Therapist in Kindred, ND. Individual provider (NPI-1).
NPI number1477972784
StatusActive
Last updated in NPPESMay 10, 2024
Details
- NPI
- 1477972784
- Entity type
- Individual (NPI-1)
- Name
- Miss Tessa Nicole Hagen
- Credential
- MOT, OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2014
- Certification date
- May 10, 2024
- Last updated
- May 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
| 225XP0200X | Occupational Therapist, Pediatrics | 1188 | ND |
Practice location
55 1st Ave SKindred, ND 58051-4027
Phone 701-641-0416
Mailing address
55 1st Ave SKindred, ND 58051-4027
Phone 701-641-0416
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