Individual
MS. KRISTIN L RYAN-HANNAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1 MAIN ST STE 505, EATONTOWN, NJ 07724-3903
(732) 493-3100
Mailing address
200 SETON HALL DR, FREEHOLD, NJ 07728-8878
(732) 493-3100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014499
NY
225X00000X
Occupational Therapist
OT46TR00560200
NJ
225X00000X
Occupational Therapist
OT46TR00560209
NJ
225XP0019X
Physical Rehabilitation Occupational Therapist
OT46TR00560200
—
Other
Enumeration date
05/18/2007
Last updated
10/16/2019
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