Individual
MR. DAVID J HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CNC
Contact information
Practice address
184 MYRA PL, EDISON, NJ 08817-4224
(732) 777-9395
Mailing address
184 MYRA PL, EDISON, NJ 08817-4224
(732) 777-9395
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
011294
NY
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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