BRANDON HANSEN

LAKE ZURICH, IL
NPI1891223590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  381847)
Enumeration Date2017-05-25
Last Update Date2017-05-25
Business Address
BRANDON HANSEN COTA
900 S RAND RD
LAKE ZURICH, IL 60047-2450
Phone number: 847-726-1200
Mailing Address
BRANDON HANSEN COTA
4820 INMANS WAY
RINGWOOD, IL 60072-9693
Phone number:
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