Kelly A Hanks, OTC
NPI #1750808804 in Laguna Woods, California
Provider Information
- NPI Number
- 1750808804
- Entity Type
- Individual
- Name
- Kelly A Hanks, OTC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist
- Credential
- OTC
- Enumeration Date
- Aug 29, 2017
- Last Updated
- Aug 29, 2017
Practice Location
- Address
- 24331 EL TORO RD STE 200
- City
- Laguna Woods
- State
- California
- ZIP Code
- 92637-3116
- Phone
- (949) 586-3200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist |
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