Holly Louise Hanson X

NPI #1942862461 in Destin, Florida

Provider Information

NPI Number: 1942862461
Entity Type: Individual
Name: Holly Louise Hanson X
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 4, 2019
Last Updated: Jul 4, 2019

Practice Location

Address: 195 MATTIE M KELLY BLVD
City: Destin
State: Florida
ZIP Code: 32541-2811
Phone: (850) 654-4588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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