Individual
COLLEEN HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5144 SHERIDAN DR STE 2, WILLIAMSVILLE, NY 14221-4653
(716) 631-5224
(716) 631-5626
Mailing address
5144 SHERIDAN DR STE 2, WILLIAMSVILLE, NY 14221-4653
(716) 631-5224
(716) 631-5626
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025086
NY
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
09/13/2020
Last updated
06/27/2024
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