Individual
FREDRIK A HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
2612 LORANCE DR, LITTLE ROCK, AR 72206-9054
(870) 535-0010
(870) 535-1116
Mailing address
2612 LORANCE DR, LITTLE ROCK, AR 72206-9054
(870) 535-0010
(870) 535-1116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2048
AR
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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