Provider Demographics
NPI:1558730283
Name:HOKANSON, NATALIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:HOKANSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42651 FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:HARRIS
Mailing Address - State:MN
Mailing Address - Zip Code:55032-3216
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:42651 FOREST BLVD
Practice Address - Street 2:
Practice Address - City:HARRIS
Practice Address - State:MN
Practice Address - Zip Code:55032-3216
Practice Address - Country:US
Practice Address - Phone:651-270-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN102424225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist