Individual
DILLYN WRAY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
4585 PIMLICO DR UNIT 301, FORT WAYNE, IN 46845-2088
(574) 303-7080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008778A
IN
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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