Individual
MRS. HEATHER JILL HANELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 KENNEDY DR, EAST MOLINE, IL 61244-4203
(309) 796-6600
Mailing address
2730 43RD ST, MOLINE, IL 61265-5585
(309) 269-3761
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009585
IL
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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