IndividualActive
Kim Hagstrom, OTR/L
NPI 1730917055 · Mental Health Occupational Therapist · West Brentwood, NY
Provider details
- NPI number
- 1730917055
- Entity type
- Individual
- Primary specialty
- Mental Health Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 004167-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
998 Crooked Hill Rd
West Brentwood, NY 11717-1019
Phone: (631) 761-2780
Fax: (631) 761-3103
Approximate (ZIP-level) locationGet directions
Mailing address
998 Crooked Hill Rd
West Brentwood, NY 11717-1019
Registry dates
- Enumerated
- 2024-07-26
- Last updated
- 2024-07-26
- Certified
- 2024-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.