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NPI Code Detail

MEDICARE: CELESTE ANN HAHN OT/L

MEDICARE: CELESTE ANN HAHN OT/L
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 Therapist4890OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14890OTHEROHOT LICENSE

General Provider Information

NPI Number : 1902469505
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTE ANN HAHN OT/L
Provider Business Mailing Address
First Line : 2857 MCKINLEY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45211-7103
Country : US
Telephone Number : 513-702-3188
Fax Number :
Provider Business Practice Location Address
First Line : 779 GLENDALE MILFORD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-1161
Country : US
Telephone Number : 513-771-1779
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2019
Last Update Date : 04/18/2019

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