| NPI | 1467654269 |
|---|---|
| Former Name | KELSEY MARIE HANSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2019-06-11 |