Individual
MR. JEFFREY ALLEN HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1204 FRYE STREET, ATHENS, TN 37303
(423) 745-0434
Mailing address
152 COUNTY ROAD 977, CALHOUN, TN 37309-5156
(423) 829-0410
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2254
TN
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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