Individual
BETHANY LYNN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2524 GLENN AVE, SIOUX CITY, IA 51106-2768
(712) 226-2254
Mailing address
107 CARR ST, VERMILLION, SD 57069-1901
(605) 216-0357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
092675
IA
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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