Individual
LISA HAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5659 STADIUM DR, KALAMAZOO, MI 49009-1932
(269) 372-0436
Mailing address
6470 N 100 E, HOWE, IN 46746-9601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202007592
MI
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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