Individual
MS. AUDREY MICHELLE HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-2503
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-2503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118702
TX
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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