Individual
KERRY GRACE HANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1009 LINWOOD AVE, HADDON TOWNSHIP, NJ 08108-3216
(908) 616-0979
Mailing address
1009 LINWOOD AVE, HADDON TOWNSHIP, NJ 08108-3216
(908) 616-0979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
NJTR00803600
NJ
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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