Individual
NANCY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3465
Mailing address
1011 OTTAWA DR, ROYAL OAK, MI 48073-4721
(248) 585-4193
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002044
MI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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