Individual
MRS. HELENE RENE' HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
(623) 931-5800
(623) 931-8776
Mailing address
5125 N 58TH AVE # VAE, GLENDALE, AZ 85301-7453
(623) 931-5800
(623) 931-8776
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1659
AZ
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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