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Individual

MRS. DEBRA HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOT OTRL

Contact information

Practice address
30072 120 RD, LEBANON, KS 66952-8854
(785) 282-0671
Mailing address
30072 120 RD, LEBANON, KS 66952-8854
(785) 282-0671

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02745
KS

Other

Enumeration date
09/07/2014
Last updated
09/07/2014
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