Provider Demographics
NPI:1891339388
Name:HANIG, MARNI LYNN (OT)
Entity Type:Individual
Prefix:
First Name:MARNI
Middle Name:LYNN
Last Name:HANIG
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:MARNI
Other - Middle Name:HANIG
Other - Last Name:BORLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1900 N 170TH ST.
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133
Mailing Address - Country:US
Mailing Address - Phone:206-393-4350
Mailing Address - Fax:206-393-4357
Practice Address - Street 1:1900 N 170TH ST.
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133
Practice Address - Country:US
Practice Address - Phone:206-393-4350
Practice Address - Fax:206-393-4357
Is Sole Proprietor?:No
Enumeration Date:2019-10-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60451179225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist