Individual
HANNAH JUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.O.T., OTR/L
Contact information
Practice address
226 ROBINS SONG DR, ELLISVILLE, MO 63021-4791
(815) 474-4250
Mailing address
226 ROBINS SONG DR, ELLISVILLE, MO 63021-4791
(815) 474-4250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2017005333
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017005333
OT LICENSE NUMBER
MO
Enumeration date
03/17/2017
Last updated
03/17/2017
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