Individual
SELEN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1931 PELHAM RD, GREENVILLE, SC 29615-4002
(803) 553-7585
Mailing address
6 EDGEBROOK CT, MARIETTA, SC 29661-9362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5064
SC
Other
Enumeration date
11/08/2019
Last updated
05/18/2024
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