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Individual
MICHAEL S HANSEN
Active
Individual
MICHAEL S HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005179
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122973
—
WA
01
—
99719
LABOR & INDUSTRIES
WA
Enumeration date
02/23/2007
Last updated
07/08/2007
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