Individual
MS. AMY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
524 SHACKLETON POINT RD, BRIDGEPORT, NY 13030-9744
(315) 412-2363
Mailing address
524 SHACKLETON POINT RD, BRIDGEPORT, NY 13030-9744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014815
NY
225X00000X
Occupational Therapist
1705
AK
Other
Enumeration date
09/24/2006
Last updated
12/19/2008
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