Individual
LIZABETH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1477 S SCHODACK RD, CASTLETON, NY 12033-9644
(518) 477-7103
Mailing address
886 RIVER ST, TROY, NY 12180-1369
(518) 764-0008
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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