Individual
MIRANDA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 HIGGINS AVE, BRIELLE, NJ 08730-1480
(732) 292-9900
Mailing address
739 TUNNEY POINT DR, TOMS RIVER, NJ 08753-4763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01219100
NJ
Other
Enumeration date
02/04/2025
Last updated
02/04/2025
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