Individual
BARBARA J HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
395 3RD ST, MANISTEE, MI 49660-1718
(877) 398-2013
(231) 723-1792
Mailing address
2594 WOODVIEW, MANISTEE, MI 49660-9229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201001471
STATE OF MICHIGAN LICENSE
MI
Enumeration date
02/15/2008
Last updated
02/15/2008
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