Individual
LILLY HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
79 HUDSON ST STE 404, HOBOKEN, NJ 07030-5641
(201) 222-9576
Mailing address
7102 KITTIWAKE RUN, MANLIUS, NY 13104-9654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01058600
NJ
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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