Individual
MRS. SUZANNE CECELIA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OTRL
Contact information
Practice address
612 S SIBLEY AVE, LITCHFIELD, MN 55355-3340
(320) 693-4589
(320) 693-4564
Mailing address
514 N ARMSTRONG AVE, LITCHFIELD, MN 55355-1812
(320) 693-0759
(320) 693-4564
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102433
MN
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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