Provider Demographics
NPI:1750133153
Name:SHEERAN, HANNA MAE (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:HANNA
Middle Name:MAE
Last Name:SHEERAN
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61671 251ST AVE
Mailing Address - Street 2:
Mailing Address - City:MANTORVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55955-6038
Mailing Address - Country:US
Mailing Address - Phone:507-259-7061
Mailing Address - Fax:
Practice Address - Street 1:851 LESLIE LN
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-5643
Practice Address - Country:US
Practice Address - Phone:559-582-4414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR505537225XP0019X
WYOT-1770225XP0019X
CA26199225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation