Individual
MCKAYLA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 MAIN ST S, VELVA, ND 58790-7342
(701) 338-2072
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1891
ND
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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