Individual
MRS. HANNAH LYNN CONKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1694 PAWNEE DR, XENIA, OH 45385-4126
(937) 372-5210
(937) 372-5250
Mailing address
2656 LONGWOOD DR, BEAVERCREEK, OH 45431-1620
(937) 572-3618
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
05123
OH
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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