Individual
PAMELA HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6850 AUSTIN CENTER BLVD STE 100, AUSTIN, TX 78731-3184
(512) 733-9700
Mailing address
6850 AUSTIN CENTER BLVD STE 100, AUSTIN, TX 78731-3184
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0489
SD
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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