Individual
TINA M HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
19307 E CATALDO AVE, SPOKANE VALLEY, WA 99016-9489
(509) 228-5400
Mailing address
14919 E MEADOWS RD, MICA, WA 99023-9616
(509) 370-5260
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC 60217889
WA
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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