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NPI Code Detail

MEDICARE: KATHLEEN MARIE HAHN

MEDICARE: KATHLEEN MARIE HAHN
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 TherapistOT18636FL
2225X00000XOccupational Therapist00983662FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942780374
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MARIE HAHN
Provider Business Mailing Address
First Line : 4910 LINCOLN RD
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33445-3819
Country : US
Telephone Number : 781-367-3060
Fax Number :
Provider Business Practice Location Address
First Line : 315 S FLAGLER DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33401-5613
Country : US
Telephone Number : 561-655-8544
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2018
Last Update Date : 08/24/2021

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Directions to “ KATHLEEN MARIE HAHN ” Practice Location

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