MISS Stacy Jo Hanson, COTA/L

NPI #1174753719 in Laramie, Wyoming

Provider Information

NPI Number
1174753719
Entity Type
Individual
Name
MISS Stacy Jo Hanson, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Jul 16, 2009
Last Updated
Jul 16, 2009

Practice Location

Address
5002 SHERMAN HILL RD APT B
State
Wyoming
ZIP Code
82070-5339
Phone
(307) 745-1410

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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