Individual
AMELIA DENISE HANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2806 DR JOHN HAYNES DR, PELL CITY, AL 35125-1485
(205) 884-7621
Mailing address
2806 DR JOHN HAYNES DR, PELL CITY, AL 35125-1485
(205) 884-7621
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5219
AL
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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