Individual
KRISTI MAE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
1502 LONDON RD STE 102, ESSENTIA HEALTH LAKEWALK CLINIC, DULUTH, MN 55812-1787
(218) 576-0100
Mailing address
1502 LONDON RD STE 102, ESSENTIA HEALTH LAKEWALK CLINIC, DULUTH, MN 55812-1787
(218) 576-0100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100852
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679897276
—
WI
Enumeration date
03/25/2010
Last updated
12/19/2011
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