Stacy L Hannemann, OT

NPI #1992763536 in Hayden, Idaho

Provider Information

NPI Number
1992763536
Entity Type
Individual
Name
Stacy L Hannemann, OT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist - Hand
Credential
OT
Enumeration Date
May 3, 2006
Last Updated
Nov 22, 2022

Practice Location

Address
10573 N FRIAR DR APT A
City
Hayden
State
Idaho
ZIP Code
83835-8507
Phone
(661) 373-1118

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - HandHand

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