SCOTT HANSEN

HAYDEN, ID
NPI1871999888
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
(Licence: ID  DDA-999)
Enumeration Date2014-11-18
Last Update Date2016-10-20
Business Address
-- SCOTT HANSEN
8252 N WAYNE DR
HAYDEN, ID 83835-5029
Phone number: 219-263-3141
Mailing Address
-- SCOTT HANSEN
8252 N WAYNE DR
HAYDEN, ID 83835-5029
Phone number: 219-263-3141