| NPI | 1922366871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HANSEN Occupational Therapist 267-625-3122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 2399) |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |