Individual
MACY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7850 MISSION CENTER CT, SAN DIEGO, CA 92108-1322
(619) 578-2232
Mailing address
7850 MISSION CENTER CT, SAN DIEGO, CA 92108-1322
(619) 578-2232
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 2883
CA
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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