Nicole Hannigan, OTR/L
Occupational Therapist, Pediatrics in Sacramento, CA. Individual provider (NPI-1).
NPI number1982482014
StatusActive
Last updated in NPPESSep 19, 2023
Details
- NPI
- 1982482014
- Entity type
- Individual (NPI-1)
- Name
- Ms. Nicole Hannigan
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2023
- Certification date
- Sep 19, 2023
- Last updated
- Sep 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 22896 | CA | Yes |
Practice location
4380 Auburn BlvdSacramento, CA 95841-4148
Phone 916-771-8255
Mailing address
4380 Auburn BlvdSacramento, CA 95841-4148
Phone 916-771-8255
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