Individual
HOLLY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8 EVERGREEN DR, OCEAN, NJ 07712-3452
(732) 493-0015
Mailing address
715 W PARK AVE UNIT 181, OAKHURST, NJ 07755-8007
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00158600
NJ
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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