Individual
KATELYN HANNIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
335 NE 10TH AVE, CRYSTAL RIVER, FL 34429-4456
(352) 795-5552
Mailing address
335 NE 10TH AVE, CRYSTAL RIVER, FL 34429-4456
(352) 795-5552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT21899
FL
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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