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Individual

KIMBERLY PETRA HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. OTR/L

Contact information

Practice address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757
Mailing address
5406 MERLE HAY RD, JOHNSTON, IA 50131-1209
(515) 727-8750
(515) 727-8757

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
002346
IA
225XP0200X
Pediatric Occupational Therapist
Primary
002346
IA

Other

Enumeration date
06/05/2013
Last updated
06/05/2013
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