Individual
KIMBERLY HANNA-OSULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
826 CAMINO DE MONTE REY, LIFESPAN THERAPY SERVICES, SANTA FE, NM 87505-3977
(505) 954-9940
Mailing address
27 BOSQUE AZUL, SANTA FE, NM 87507-9429
(505) 603-5901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3244
NM
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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