Individual
KATHLEEN GAIL HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
1833 S BRIGHTON CIR, MESA, AZ 85209-4018
(480) 634-1676
Mailing address
1833 S BRIGHTON CIR, MESA, AZ 85209-4018
(480) 634-1676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3940
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228603
AHCCCS
AZ
Enumeration date
07/23/2007
Last updated
01/25/2013
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