Individual
HANNAH MARIE BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
100 GALLATIN ST NE, WASHINGTON, DC 20011-7533
(202) 545-0515
Mailing address
7300 DENISE LN, HUGHESVILLE, MD 20637-2335
(301) 751-6960
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT010001585
DC
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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