Individual
KARISSA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426
(952) 883-6212
Mailing address
438 MADISON ST NE, #2, MINNEAPOLIS, MN 55413-2122
(952) 393-1666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105199
MN
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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