Individual
LAURA IMMING HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
452 SE UNIVERSITY AVE, WAUKEE, IA 50263-8121
(515) 987-0465
Mailing address
6110 BRETT ASHLEY PL, JOHNSTON, IA 50131-2978
(507) 271-2040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
074289
IA
Other
Enumeration date
08/04/2014
Last updated
09/01/2015
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