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Individual
MS. TAMMY ANN HANSEN
Active
Individual
MS. TAMMY ANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3292-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40626100
—
WI
Enumeration date
05/03/2007
Last updated
07/09/2007
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