Individual
MICHAELA HANZAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
66 BENNING ST, WEST LEBANON, NH 03784-3407
(888) 300-8853
Mailing address
66 BENNING ST, WEST LEBANON, NH 03784-3407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
072.0109959
VT
225X00000X
Occupational Therapist
Primary
2450
NH
Other
Enumeration date
08/10/2013
Last updated
04/21/2015
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