Individual
JENNIFER LYNN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1127 CALDWELL BLVD, NAMPA, ID 83651-1701
(208) 465-4935
Mailing address
25117 SW PARKWAY AVE, STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-447
ID
Other
Enumeration date
10/15/2016
Last updated
10/15/2016
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