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Individual

MS. DEBORAH ANN HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OCCUPATIONAL HAND TH

Contact information

Practice address
7301 PEAK DR, SUITE 150, LAS VEGAS, NV 89128-9037
(702) 242-5629
(702) 242-5629
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0043
NV
225XH1200X
Hand Occupational Therapist
0043
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003402351
NV
Enumeration date
02/02/2006
Last updated
11/23/2015
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