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1164958906
TYLER HANSEN
TWIN FALLS, ID
NPI
1164958906
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: ID OTL- 1765)
Enumeration Date
2017-05-11
Last Update Date
2018-02-12
Business Address
TYLER HANSEN OTR
2550 ADDISON AVE E STE D
TWIN FALLS, ID 83301-6749
Phone number: 208-814-7700
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Mailing Address
TYLER HANSEN OTR
511 MAGNOLIA AVE
TWIN FALLS, ID 83301-6210
Phone number: 208-490-0035
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