Individual
MR. RANDALL HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14240 S ISLAND RD, COLUMBIA STATION, OH 44028-9714
(234) 400-9200
Mailing address
14240 S ISLAND RD, COLUMBIA STATION, OH 44028-9714
(234) 400-9200
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA005929
OH
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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