Individual
MICHELE NICHOLE HANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1769 HOOPER AVE, TOMS RIVER, NJ 08753
(732) 913-0599
Mailing address
PO BOX 719, OCEAN GATE, NJ 08740-0719
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09232300
NJ
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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