IndividualActive
Kristin Hagen, OTR
NPI 1942704598 · Gerontology Occupational Therapist · Northbrook, IL
Provider details
- NPI number
- 1942704598
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 056012318 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
634 Academy Dr
Northbrook, IL 60062-2421
Phone: (847) 637-5151
Approximate (ZIP-level) locationGet directions
Mailing address
634 Academy Dr
Northbrook, IL 60062-2421
Registry dates
- Enumerated
- 2018-03-20
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.