NPI 1174753719

Stacy Jo Hanson, COTAL

Practitioner Occupational Therapy Assistant Laramie, WY

Practice location

Address: 5002 Sherman Hill Rd APT B, Laramie, WY 82070-5339
Phone: (307) 745-1410
Fax: (307) 742-9450

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence COTA-676 (WY)

Other Occupational Therapy Assistant providers in Wyoming →

Registry record

NPI: 1174753719
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2009
Record last updated: 16 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.