Individual
MRS. KIMBERLEE A. HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8115 E INDIAN BEND RD, STE. 123, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
Mailing address
45191 W DESERT GARDEN RD, MARICOPA, AZ 85239-9175
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0176A
AZ
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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