Hanan Hakeem Agban Hanna, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Norton, MA

NPI 1669093746 · NPPES record last updated Apr 30, 2020

Key facts

NPI
1669093746
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
4031 (MA)
Practice address
355 S Worcester St
Norton, MA 02766-3403
Phone
(508) 369-4153
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4031MAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
224Z00000X 4031 MA Yes

Addresses

Primary practice location

355 S Worcester St
Norton, MA 02766-3403

Mailing address

355 S Worcester St
Norton, MA 02766-3403
Phone (508) 369-4153

Other providers in Norton, MA

All providers in Norton, MA · Occupational Therapy Assistant in Massachusetts

Sources for this page

Verify at the official NPI Registry.