STACY JO HANSON

LARAMIE, WY
NPI1174753719
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WY  COTA-676)
Enumeration Date2009-07-16
Last Update Date2009-07-16
Business Address
Miss STACY JO HANSON COTA/L
5002 SHERMAN HILL RD APT B
LARAMIE, WY 82070-5339
Phone number: 307-745-1410
Mailing Address
Miss STACY JO HANSON COTA/L
5002 SHERMAN HILL RD APT B
LARAMIE, WY 82070-5339
Phone number: 307-745-1410
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