Individual
HANNAH LAMAR KOELBL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
6063 60TH LN, APT 3, MASPETH, NY 11378-3578
(865) 621-2973
Mailing address
6063 60TH LN, APT 3, MASPETH, NY 11378-3578
(865) 621-2973
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020458
NY
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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