Kelly Hannon, OTR

NPI #1447313242 in Newburgh, New York

Provider Information

NPI Number
1447313242
Entity Type
Individual
Name
Kelly Hannon, OTR
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
OTR
Enumeration Date
Dec 19, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1607 ROUTE 300
Address 2
SUITE 102
ZIP Code
12550-1738
Phone
(845) 564-9853

Specialties & Taxonomy Codes

Specialty
Specialist

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