Individual
REBECCA ANN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66990 GRATIOT AVE, RICHMOND, MI 48062-1913
(586) 727-8900
Mailing address
37150 HEBEL RD, RICHMOND, MI 48062-4916
(810) 217-3605
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501000418
MI
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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