Individual
CASEY HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
9209 DOLLARWAY RD, WHITE HALL, AR 71602-2616
(870) 247-0800
Mailing address
612 N GRANT ST, SHERIDAN, AR 72150-8428
(870) 484-2629
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4072
AR
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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