Individual
MICHELLE IDA HAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4321 FIR ST, EAST CHICAGO, IN 46312-3049
(219) 392-7400
(219) 392-7408
Mailing address
4321 FIR ST, EAST CHICAGO, IN 46312-3097
(219) 392-7400
(219) 392-7408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000586A
IN
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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