Individual
KELSEY CATHERINE HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9109 LIBERTY RD, RANDALLSTOWN, MD 21133-3521
(410) 655-7373
Mailing address
2304 OLD MAPLE CT, ELLICOTT CITY, MD 21042-1767
(443) 472-5818
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06595
MD
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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