Healthcare Provider Details

I. General information

NPI: 1801494067
Provider Name (Legal Business Name): HANNAH DELAHUNT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2020
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 OSMAN AVE N
STILLWATER MN
55082-6661
US

IV. Provider business mailing address

336 HARRIMAN ST
SOMERSET WI
54025-9095
US

V. Phone/Fax

Practice location:
  • Phone: 651-351-6570
  • Fax:
Mailing address:
  • Phone: 651-491-0104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number107448
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: