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Individual

ROSE HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1115 4TH AVE N, SAUK RAPIDS, MN 56379-2201
(763) 689-5385
Mailing address
15762 RIVERBEND LN, COLD SPRING, MN 56320-8724

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100680
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
092M8HA
BCBS
MN
01
6402061
MEDICA
MN
01
HP45765
HEALTH PARTNERS
MN
Enumeration date
09/27/2006
Last updated
07/09/2007
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