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NPI Code Detail

MEDICARE: MS. KRISTIN L RYAN-HANNAWAY OTRL

MEDICARE:  MS. KRISTIN L RYAN-HANNAWAY  OTRL
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 TherapistOT46TR00560209NJ
2225X00000XOccupational TherapistOT46TR00560200NJ
3225XP0019XPhysical Rehabilitation Occupational TherapistOT46TR00560200
4225X00000XOccupational Therapist014499NY

General Provider Information

NPI Number : 1033327408
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTIN L RYAN-HANNAWAY OTRL
Provider Business Mailing Address
First Line : 200 SETON HALL DR
Second Line :
City : FREEHOLD
State : NJ
Zip : 07728-8878
Country : US
Telephone Number : 732-493-3100
Fax Number :
Provider Business Practice Location Address
First Line : 1 MAIN ST STE 505
Second Line :
City : EATONTOWN
State : NJ
Zip : 07724-3903
Country : US
Telephone Number : 732-493-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2007
Last Update Date : 10/16/2019

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Directions to “ MS. KRISTIN L RYAN-HANNAWAY OTRL” Practice Location

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