Individual
LORRAINE MARIE HANIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
805 SILVERCREST DR, WADSWORTH, OH 44281
(330) 334-8267
Mailing address
805 SILVERCREST DR, WADSWORTH, OH 44281
(330) 334-8267
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 02447
OH
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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