Individual
JACOB E HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2290 W 16TH ST, SAFFORD, AZ 85546-4081
(928) 348-4220
Mailing address
2290 W 16TH ST, SAFFORD, AZ 85546-4081
(928) 348-4220
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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