Individual
MRS. MELISSA KAY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
2509 HARTS BLUFF RD, MANSFIELD, LA 71052-6253
(936) 572-7117
Mailing address
2509 HARTS BLUFF RD, MANSFIELD, LA 71052-6253
(936) 572-7117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
120495
TX
225X00000X
Occupational Therapist
Primary
321847
LA
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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