Individual
ERICA RENEE HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1600 CRIDER ROAD, MANSFIELD, OH 44903
(419) 589-7611
Mailing address
1600 CRIDER ROAD, MANSFIELD, OH 44903
(419) 589-7611
(419) 589-3430
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04839
OH
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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