Individual
MRS. NADINE HANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1797 CENTRAL AVE, SUMMERVILLE, SC 29483-9323
(843) 851-3689
(843) 851-3689
Mailing address
1797 CENTRAL AVE, SUMMERVILLE, SC 29483-9323
(843) 851-3689
(843) 851-3689
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2946
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1603
—
SC
Enumeration date
02/12/2007
Last updated
07/08/2007
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