Hannah Marie Bacon, OTR/L
Occupational Therapist, Pediatrics in Washington, DC. Individual provider (NPI-1).
NPI number1982164562
StatusActive
Last updated in NPPESMar 21, 2019
Details
- NPI
- 1982164562
- Entity type
- Individual (NPI-1)
- Name
- Hannah Marie Bacon
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2019
- Last updated
- Mar 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | OT010001585 | DC | Yes |
Practice location
100 Gallatin St NeWashington, DC 20011-7533
Phone 202-545-0515
Mailing address
7300 Denise LnHughesville, MD 20637-2335
Phone 301-751-6960
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