Individual
MARY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
43 STARR FARM RD, BURLINGTON, VT 05408-1321
(802) 419-2421
Mailing address
43 STARR FARM RD, BURLINGTON, VT 05408-1321
(802) 419-2421
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
072.0000084
VT
Other
Enumeration date
09/12/2018
Last updated
09/12/2018
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