Individual
MIKAELA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3900
(402) 413-3909
Mailing address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3900
(402) 413-3909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1620
NE
Other
Enumeration date
09/06/2012
Last updated
10/11/2013
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