Individual
CHASE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 257-2000
Mailing address
2502 S ASHLAND AVE, GREEN BAY, WI 54304-5252
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13524
WI
Other
Enumeration date
08/03/2016
Last updated
06/11/2021
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