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NPI Code Detail

MEDICARE: HANNAH MILAM OT

MEDICARE: HANNAH MILAM OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1891561866
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH MILAM OT
Provider Business Mailing Address
First Line : 100 BRUSHWOOD RD
Second Line :
City : WOOLWICH
State : ME
Zip : 04579-4240
Country : US
Telephone Number : 207-607-1463
Fax Number :
Provider Business Practice Location Address
First Line : 39022 PRESIDIO WAY
Second Line :
City : FREMONT
State : CA
Zip : 94538-1221
Country : US
Telephone Number : 207-607-1463
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2023
Last Update Date : 11/30/2023

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