Individual
HEATHER STACY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 E 14 MILE RD, MADISON HEIGHTS, MI 48071-1541
(248) 743-9500
Mailing address
5124 CHIPMAN DR, WATERFORD, MI 48327-3230
(248) 505-9157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001517
MI
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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