Individual
LISA LIND HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
16600 W SPRAGUE RD, SUITE 365, MIDDLEBURG HEIGHTS, OH 44130-6318
(216) 227-7700
Mailing address
3719 EDGEHILL DR, CLEVELAND, OH 44121-1972
(678) 438-4570
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA06855
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225200000X
—
OH
Enumeration date
01/13/2012
Last updated
01/13/2012
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