Individual
MS. SUSAN HANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0750
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2239246
FIRST HEALTH
ND
01
—
385492000
MHCP
MN
05
—
54430
—
ND
01
—
64-04763
MEDICA PROVIDER NUMBER
ND
01
—
B17351047567
PREFERREDONE PIN NUMBER
ND
01
—
HP75679
HEALTHPARTNERS
MN
01
—
LAN22704
BCBS ND PROVIDER NUMBER
ND
Enumeration date
12/15/2006
Last updated
03/06/2015
Update your record
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