Individual
MISS LORI MICHELLE HANLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
305 LONGVIEW AVE, MINGO JCT, OH 43938-1458
(740) 275-4614
Mailing address
305 LONGVIEW AVE, MINGO JCT, OH 43938-1458
(740) 275-4614
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
05349
OH
224Z00000X
Occupational Therapy Assistant
Primary
C1899
WV
224Z00000X
Occupational Therapy Assistant
OP007592
PA
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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