Provider Demographics
NPI:1225334576
Name:HAHN, DONNA L (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:L
Last Name:HAHN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7262 RIDGEVIEW DR W
Mailing Address - Street 2:
Mailing Address - City:N TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-9709
Mailing Address - Country:US
Mailing Address - Phone:716-692-2908
Mailing Address - Fax:
Practice Address - Street 1:7262 RIDGEVIEW DR W
Practice Address - Street 2:
Practice Address - City:N TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-9709
Practice Address - Country:US
Practice Address - Phone:716-692-2908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006977-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics