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Individual

HANNAH BIBEAULT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
156 LAFAYETTE ROAD, LAFAYETTE, NJ 07848
(973) 862-6377
Mailing address
131 MARLA RD, HOPATCONG, NJ 07843-1416

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01019200
NJ
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
46TR01019200
NJ
225XP0200X
Pediatric Occupational Therapist

Other

Enumeration date
10/27/2021
Last updated
10/27/2021
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