Individual
MS. DEANNA LYNN HANDORF
Active
Individual
MS. DEANNA LYNN HANDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
977055 REGISTRATION
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538368253
MEDICARE
—
05
—
977055
—
MI
Enumeration date
07/12/2007
Last updated
02/06/2023
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