Provider Demographics
NPI:1407547284
Name:HANI, ABBY (OTD)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:HANI
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 WILLOW GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2096
Mailing Address - Country:US
Mailing Address - Phone:785-539-7671
Mailing Address - Fax:
Practice Address - Street 1:2800 WILLOW GROVE RD
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2096
Practice Address - Country:US
Practice Address - Phone:785-539-7671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-04230225X00000X
KS225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist