Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIM HAGSTROM, OTR/L
ActiveKIM HAGSTROM, OTR/L is a Mental Health Occupational Therapist healthcare provider located in WEST BRENTWOOD, New York. NPI 1730917055 is currently active in the NPPES registry. Verify at CMS.
Mental Health Occupational Therapist · WEST BRENTWOOD, NY
Registration Details
- NPI Number
- 1730917055
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 26, 2024 (1.8680837457019 yrs)
- Last Updated
- Jul 26, 2024
- License
-
004167-1 (NY)
Practice Information
- Address
-
998 CROOKED HILL RDWEST BRENTWOOD, NY, 117171019Browse NY providers · Browse ZIP 11717
- Phone
- 6317612780
- Fax
- 6317613103
- Primary Specialty
-
Mental Health Occupational Therapist
225XM0800X
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.