Individual
JEANNINE HANNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
31 STAPLES ST, DANBURY, CT 06810-5323
(203) 794-9466
Mailing address
30 LAKESPRING DR, BREWSTER, NY 10509-5933
(914) 715-2053
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
024123
NY
225X00000X
Occupational Therapist
Primary
5295
CT
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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