Individual
LAURIE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1234 VERMONT RD, CHEYENNE, WY 82009-9017
(307) 630-9167
Mailing address
1234 VERMONT RD, CHEYENNE, WY 82009-9017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
706
WY
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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