Individual
MRS. DEIRDRE MARY HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
172 VINEYARD RD, HUNTINGTON, NY 11743-1253
(631) 385-4775
Mailing address
172 VINEYARD RD, HUNTINGTON, NY 11743-1253
(631) 385-4775
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006828-1
NY
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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