Scott Hansen

NPI #1871999888 in Hayden, Idaho

Provider Information

NPI Number: 1871999888
Entity Type: Individual
Name: Scott Hansen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Nov 18, 2014
Last Updated: Oct 20, 2016

Practice Location

Address: 8252 N WAYNE DR
City: Hayden
State: Idaho
ZIP Code: 83835-5029
Phone: (219) 263-3141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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