Hansen, Marisa

Hansen, Marisa is an individual health care provider with primary practice located at 3715 Woodking Dr , Idaho Falls ID 83404-4720. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Hansen, Marisa can be contacted via phone (208) 529-2255.

Contact Information

Primary practice address
3715 Woodking Dr Idaho Falls ID 83404-4720
Phone: (208) 529-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT- 1478 Idaho

Profile Details

NPI number 1659640464
LBN Legal business name Hansen, Marisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2011
Last updated Jan 26th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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