Individual
ALISA JEANETTE HANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1331 E 4TH ST, OTTAWA, OH 45875-1505
(419) 523-9337
Mailing address
1331 E 4TH ST, OTTAWA, OH 45875-1505
(419) 523-9337
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-007083
OH
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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