Individual
THERESA CATHERINE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202164
MN
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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