Provider Demographics
NPI:1598853764
Name:HANSEN, NORAH J (OTRL)
Entity type:Individual
Prefix:
First Name:NORAH
Middle Name:J
Last Name:HANSEN
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HAMPTON RD
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4807
Mailing Address - Country:US
Mailing Address - Phone:603-518-4285
Mailing Address - Fax:
Practice Address - Street 1:9 HAMPTON RD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4807
Practice Address - Country:US
Practice Address - Phone:603-518-4000
Practice Address - Fax:603-668-6260
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10338225X00000X
NH2275225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist