Individual
ALLYSON LAURA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4000
Mailing address
161 N CIVIC DR APT 102, WALNUT CREEK, CA 94596-3898
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
21354
CA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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