person
Stacy L Hannemann, OT
Hand Occupational Therapist in Hayden, Idaho
NPI 1992763536

Stacy L Hannemann is a Hand Occupational Therapist based in Hayden, ID and is specialized in Hand. Stacy L Hannemann practices in Hayden, ID and has the professional credentials of OT. The NPI Number for Stacy L Hannemann is 1992763536 and holds a License No. OT-1767 (Idaho).

The current practice location address for Stacy L Hannemann is 10573 N Friar Dr Apt A, Hayden, ID and can be reached out via phone at 661-373-1118.

Location: 10573 N Friar Dr Apt A, Hayden, ID, 83835-8507
person
Provider Profile Details
NPI Number
1992763536
Provider Name
Stacy L Hannemann
Credential
OT
Provider Entity Type
Individual
Gender
Female
Address
10573 N Friar Dr Apt A, Hayden, ID, 83835-8507
Phone Number
661-373-1118
Fax Number
Provider Enumeration Date
05/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10573 N Friar Dr Apt A
City
State
Zip
83835-8507
Phone Number
661-373-1118
Fax Number
person
Provider Business Mailing Address Details
Address
10573 N Friar Dr Apt A
City
State
Zip
83835-8507
Phone Number
661-373-1118
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Occupational Therapist
Speciality
Hand
Taxonomy
License No.
OT-1767 (Idaho)
Definition
Definition to come...
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