Individual
BRANDIE MARIE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-7259
Mailing address
W7180 COUNTY HIGHWAY A, SPOONER, WI 54801-7405
(715) 463-7259
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1529-19
WI
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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