Individual
JON HANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
13529 GORDON RD, CONNEAUT LAKE, PA 16316-4721
(814) 807-2463
Mailing address
13529 GORDON RD, CONNEAUT LAKE, PA 16316-4721
(814) 807-2463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4564
SC
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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