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1144488206
MARY L HANSEN
LA CROSSE, WI
NPI
1144488206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: WI 39-026)
Enumeration Date
2008-05-27
Last Update Date
2008-05-27
Business Address
-- MARY L HANSEN OTR
3155 ELM DR
LA CROSSE, WI 54601-7880
Phone number: 608-788-9466
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Mailing Address
-- MARY L HANSEN OTR
3155 ELM DR
LA CROSSE, WI 54601-7880
Phone number:
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