Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYNELLE HAGEDORN
ActiveLYNELLE HAGEDORN is a Occupational Therapy Assistant healthcare provider located in WHITE, South Dakota. NPI 1619378957 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · WHITE, SD
Registration Details
- NPI Number
- 1619378957
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 5, 2014 (11.94689109312 yrs)
- Last Updated
- Sep 5, 2014
- License
-
279A (SD)
Practice Information
- Address
-
20440 476TH AVEWHITE, SD, 572765914Browse SD providers · Browse ZIP 57276
- Phone
- 6056298841
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.