Renae L Hansen, OTR/L

NPI #1265741573 in Patchogue, New York

Provider Information

NPI Number: 1265741573
Entity Type: Individual
Name: Renae L Hansen, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Oct 4, 2010
Last Updated: Oct 4, 2010

Practice Location

Address: 92 N PROSPECT AVE
City: Patchogue
State: New York
ZIP Code: 11772-2219
Phone: (631) 569-4755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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