Individual
JUSTIN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 863-0086
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105068
MN
Other
Enumeration date
03/08/2016
Last updated
12/22/2021
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