STACY L HANNEMANN

HAYDEN, ID
NPI1992763536
Former NameSTACY LYNN JENSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XH1200X Occupational Therapist, Hand
(Licence: ID  OT-1767)
Enumeration Date2006-05-03
Last Update Date2022-11-22
Business Address
STACY L HANNEMANN OT
10573 N FRIAR DR APT A
HAYDEN, ID 83835-8507
Phone number: 661-373-1118
Mailing Address
STACY L HANNEMANN OT
10573 N FRIAR DR APT A
HAYDEN, ID 83835-8507
Phone number: 661-373-1118