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NPI 1013629484

Mary Justina Hanna, OTR/L

Occupational Therapist · La Verne, CA

Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 16, 2026, 3:38 am EDT

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Mary Justina Hanna, OTR/L is a health care provider (Occupational Therapist) in La Verne, California with National Provider Identifier (NPI) 1013629484. The NPI was issued on Dec 19, 2022 and the registry record was last updated on Dec 19, 2022. The registry lists a license in California.

Registry record

NPI
1013629484
Type
Individual (NPI-1)
Primary specialty
Occupational Therapist 225X00000X
Practice location
2061 Wright Ave Ste A7
La Verne, CA 91750-5813
Phone
(909) 802-0202
NPI issued
Dec 19, 2022
Registry record updated
Dec 19, 2022

Specialties and licenses

SpecialtyTaxonomy codeLicense stateLicense
Occupational Therapist Primary225X00000XCalifornia24401

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Occupational Therapist providers in California

Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.