Individual
EVAN MATTHEW HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Contact information
Practice address
7111 STEPHANIE LN, LINCOLN, NE 68516-5300
(402) 420-0004
(402) 413-3566
Mailing address
5401 SOUTH ST, LINCOLN, NE 68506-2150
(402) 413-3900
(402) 413-3566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10996
AZ
225100000X
Physical Therapist
Primary
3267
NE
Other
Enumeration date
08/08/2013
Last updated
10/21/2015
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