Individual
HEATHER HANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
18915 90TH AVE E, PUYALLUP, WA 98375-6160
(360) 485-3992
Mailing address
18915 90TH AVE E, PUYALLUP, WA 98375-6160
(360) 485-3992
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00002980
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7683014
—
WA
Enumeration date
11/11/2005
Last updated
07/09/2007
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