Individual
CLAYTON W HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
5500 34TH ST W, BRADENTON, FL 34210-3506
(941) 739-7476
Mailing address
5500 34TH ST W, BRADENTON, FL 34210-3506
(941) 739-7476
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AL5326
FL
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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