Individual
MRS. KRISTI LYNN HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
515 BRIGHTFIELD ROAD, LUTHERVILLE, MD 21093
(410) 296-1990
Mailing address
1820 FORREST ROAD, PARKVILLE, MD 21234-6117
(410) 668-1194
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A00548
MD
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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