Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 015313-1 | NY |
N | 225XE0001X | Environmental Modification | 051313-1 | NY |
N | 2251E1200X | Ergonomics | 015313-1 | NY |
N | 225XE1200X | Ergonomics | 015313-1 | NY |
Y | 225XL0004X | Low Vision | 015313-1 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 015313-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | 015313-1 | NY |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT1085 | AK |
N | 225XR0403X | Driving and Community Mobility | 015313-1 | NY |
NPI | 1659447910 |
---|---|
Provider Name | Loreyn Leigh Hansen |
First Address | Geneva, NY 14456-9249 |
Second Address | Rochester, NY 14620-1103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 04/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
OT1849 | (05) | AK |