Individual
JESSICA HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-3095
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
9525
NC
Other
Enumeration date
01/13/2015
Last updated
07/19/2021
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