Individual
KATHRYN SUE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1100 COMMERCE DR, SUITE 114, RACINE, WI 53406-3700
(262) 886-3431
Mailing address
3032 96TH ST, FRANKSVILLE, WI 53126-9541
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2755-026
WI
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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