Individual
CAROLYN MARISSA HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8493
MN
Other
Enumeration date
07/29/2010
Last updated
03/08/2016
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