Individual
AMBER JO HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 FORREST ST, BLACK RIVER FALLS, WI 54615-9126
(715) 284-9406
Mailing address
2914 E FAIRCHILD ST, LA CROSSE, WI 54601-7455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16744-24
WI
Other
Enumeration date
05/23/2026
Last updated
05/23/2026
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