Lynelle Hagedorn
NPI #1619378957 in White, South Dakota
Provider Information
- NPI Number
- 1619378957
- Entity Type
- Individual
- Name
- Lynelle Hagedorn
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Sep 5, 2014
- Last Updated
- Sep 5, 2014
Practice Location
- Address
- 20440 476TH AVE
- City
- White
- State
- South Dakota
- ZIP Code
- 57276-5914
- Phone
- (605) 629-8841
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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