Individual
DANIELLE RAY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2150 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3403
(715) 895-8000
(833) 252-6410
Mailing address
2150 EASTRIDGE CTR, EAU CLAIRE, WI 54701-3403
(715) 895-8000
(833) 252-6410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6077
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000004404387
AOTA
—
01
—
6077
STATE LICENSE
WI
Enumeration date
06/27/2022
Last updated
06/27/2022
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