Individual
MOLLY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1728 N FRONT ST, CROOKSTON, MN 56716-1020
(218) 470-0132
Mailing address
1728 N FRONT ST, CROOKSTON, MN 56716-1020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104704
MN
Other
Enumeration date
09/29/2014
Last updated
01/05/2022
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