MEDICARE: NATALIE HOKANSON OTR/L

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
1	225X00000X	Occupational Therapist	102424	MN

General Provider Information

NPI Number	:	1558730283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE HOKANSON OTR/L

Provider Business Mailing Address
First Line	:	42651 FOREST BLVD
Second Line	:
City	:	HARRIS
State	:	MN
Zip	:	55032-3216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	42651 FOREST BLVD
Second Line	:
City	:	HARRIS
State	:	MN
Zip	:	55032-3216
Country	:	US
Telephone Number	:	651-270-1950
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2015
Last Update Date	:	09/23/2015

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