Individual
MR. TODD LEWIS HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5240470-4201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4800
—
UT
Enumeration date
11/17/2006
Last updated
07/08/2007
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