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1801815337
PENELOPE J HANSON
RIVERTON, WY
NPI
1801815337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WY OTR - 307)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
-- PENELOPE J HANSON OTR
911 FLAG DR
RIVERTON, WY 82501-2312
Phone number: 307-857-7074
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Mailing Address
-- PENELOPE J HANSON OTR
PO BOX 2020
RIVERTON, WY 82501-0274
Phone number: 307-857-7074
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