Provider Demographics
NPI:1306158126
Name:SEGUI, HANNAH CHRISTIE CORCUERA (OT)
Entity type:Individual
Prefix:MRS
First Name:HANNAH CHRISTIE
Middle Name:CORCUERA
Last Name:SEGUI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MISS
Other - First Name:HANNAH CHRISTIE
Other - Middle Name:TAN
Other - Last Name:CORCUERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:523 78TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-3705
Mailing Address - Country:US
Mailing Address - Phone:270-501-2316
Mailing Address - Fax:
Practice Address - Street 1:523 78TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-3705
Practice Address - Country:US
Practice Address - Phone:270-501-2316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-09
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014876225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics