Doctor Name: | DIANNE L HANSON |
NPI Number: | 1215976030 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT |
License Number: | 056-001768 |
Business Practice Address: | 27650 Ferry Rd Suite 100 Warrenville, IL - 605553845 |
Business Phone Number: | 6302252663 |
Business Fax Number: | 6302252399 |
Mailing Address: | 27650 Ferry Rd, Suite 100 WARRENVILLE |
State: | IL |
Postal Code: | 605553845 |
Phone Number: | 6302252663 |
Fax Number: | 6302252399 |
NPI Enumeration Date: | 06/06/2006 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 056-001768 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |