Individual
MEREDITH HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
89 CEDAR AVE, LAKE VILLA, IL 60046-8411
(847) 265-7300
(847) 365-7301
Mailing address
PO BOX 769, LAKE VILLA, IL 60046
(847) 265-7300
(847) 265-7301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056001394
IL
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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