Individual
PAMELA HANWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
502 W BROADWAY ST, MONTICELLO, IN 47960-2005
(574) 583-8243
Mailing address
502 W BROADWAY ST, MONTICELLO, IN 47960-2005
(574) 583-8243
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001668A
IN
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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