Individual
TRINA SUE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
510 1ST ST, SPOONER, WI 54801-1241
(715) 635-3466
Mailing address
20 W SLOCUMB ST, RICE LAKE, WI 54868-2778
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4808-027
WI
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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