Individual provider · Type 1 NPI

Lynelle Hagedorn

Occupational Therapy Assistant · White, SD

NPI number 1619378957 Active

Practice location

20440 476th Ave
White, SD 57276-5914

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X279A (SD)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

About NPI 1619378957

Lynelle Hagedorn's National Provider Identifier is 1619378957, issued on Sep 5, 2014. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in White, SD. The record was last updated on Sep 5, 2014.