Individual
KIMBERLY LYNN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2719 MORGAN DR APT 18, SAN RAMON, CA 94583-2467
(925) 380-6071
Mailing address
2719 MORGAN DR APT 18, SAN RAMON, CA 94583-2467
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1689
CA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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