Individual
MR. NOAH ROBERT HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
10618 BRECKENRIDGE DR, LITTLE ROCK, AR 72211-1802
(501) 217-8600
(501) 217-8636
Mailing address
10618 BRECKENRIDGE DR, LITTLE ROCK, AR 72211-1802
(501) 217-8600
(501) 217-8636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2479
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290080
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY INC.
MD
01
—
OTR2479
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
11/29/2011
Last updated
11/29/2011
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