Individual
LISA MARIA HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
21585 PEABODY ST, LEONARDTOWN, MD 20650-2955
(301) 475-8000
(301) 997-1461
Mailing address
778 LAZY RIVER RD, LUSBY, MD 20657-3736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1820
MD
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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