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Individual

MR. TODD LEWIS HANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR L

Contact information

Practice address
401 SOUTH 400 EAST, MOUNTAIN LAND REHABILIATION, BOUNTIFUL, UT 84010
(801) 397-8151
(901) 397-8051
Mailing address
401 SOUTH 400 EAST, MOUNTAIN LAND REHABILIATION, BOUNTIFUL, UT 84010
(801) 397-8151
(901) 397-8051

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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