Chelsey Rae Hanner, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Holland, NY

NPI 1982467114 · NPPES record last updated Jan 31, 2024

Key facts

NPI
1982467114
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
011351-01 (NY)
Practice address
103 Canada St
Holland, NY 14080-9806
Phone
(716) 537-8200
NPI assigned
Jan 31, 2024
Sex
Female
Sole proprietor
No

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
011351-01NYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 011351-01 NY Yes

Addresses

Primary practice location

103 Canada St
Holland, NY 14080-9806

Mailing address

368 Christy Rd
Irving, NY 14081-9732
Phone (716) 640-6783

Other names

  • Chelsey Rae Tomsick Former name

Other providers in Holland, NY

All providers in Holland, NY · Occupational Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.