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NPI Code Detail

MEDICARE: AMY HANNA OTR/L

MEDICARE: AMY HANNA OTR/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
1225XP0200XPediatric Occupational Therapist19313CA

General Provider Information

NPI Number : 1386586485
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY HANNA OTR/L
Provider Business Mailing Address
First Line : 233 N JACKSON ST
Second Line :
City : GLENDALE
State : CA
Zip : 91206-4334
Country : US
Telephone Number : 818-241-3111
Fax Number :
Provider Business Practice Location Address
First Line : 233 N JACKSON ST
Second Line :
City : GLENDALE
State : CA
Zip : 91206-4334
Country : US
Telephone Number : 818-241-3111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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Directions to “ AMY HANNA OTR/L” Practice Location

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