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NPI Code Detail

MEDICARE: MS. DEBORAH ANN HANSEN OCCUPATIONAL HAND TH

MEDICARE:  MS. DEBORAH ANN HANSEN  OCCUPATIONAL HAND TH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0043NV
2225XH1200XHand Occupational Therapist0043NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396717427
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DEBORAH ANN HANSEN OCCUPATIONAL HAND TH
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2223
Fax Number : 630-759-9510
Provider Business Practice Location Address
First Line : 7301 PEAK DR
Second Line : SUITE 150
City : LAS VEGAS
State : NV
Zip : 89128-9037
Country : US
Telephone Number : 702-242-5629
Fax Number : 702-242-5629
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 11/23/2015

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Directions to “ MS. DEBORAH ANN HANSEN OCCUPATIONAL HAND TH” Practice Location

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