Individual provider · Type 1 NPI

Carol F. Hansen, REGISTARED NURSE

Developmental Therapist · Breese, IL

NPI number 1760694830 Active

Practice location

1665 N 4th St
Breese, IL 62230-1791

Call (618) 526-8830 Map

Fax (618) 526-8831

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1760694830

Carol F. Hansen, REGISTARED NURSE's National Provider Identifier is 1760694830, issued on May 3, 2007. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Breese, IL. The record was last updated on Jul 8, 2007.