Individual
HANNAH ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 E 19TH ST, SEDALIA, MO 65301-7513
(843) 505-2151
Mailing address
405 E 19TH ST, SEDALIA, MO 65301-7513
(843) 505-2151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2024044283
MO
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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