Individual
MRS. KALA MARIE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8274 E SAN RD, SOUTH RANGE, WI 54874-8621
(715) 398-3523
Mailing address
7570 S BERGE RD, FOXBORO, WI 54836-9623
(715) 338-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5065-27
WI
Other
Enumeration date
02/28/2019
Last updated
02/28/2019
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