Individual
HANNAH PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3620 168TH ST APT 2L, FLUSHING, NY 11358-2153
(917) 837-7429
Mailing address
3620 168TH ST APT 2L, FLUSHING, NY 11358-2153
(917) 837-7429
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011040
NY
Other
Enumeration date
08/30/2023
Last updated
09/03/2023
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