MARISA HANSEN

IDAHO FALLS, ID
NPI1659640464
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT- 1478)
Enumeration Date2011-12-22
Last Update Date2016-01-26
Business Address
-- MARISA HANSEN
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number: 208-529-2255
Mailing Address
-- MARISA HANSEN
3715 WOODKING DR
IDAHO FALLS, ID 83404-4720
Phone number:
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