Individual
MR. LELAND S HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA, ATC, CSCS
Contact information
Practice address
2203 S MAIN ST, GROVE, OK 74344-5329
(918) 786-3797
Mailing address
2203 S MAIN ST, GROVE, OK 74344-5329
(918) 786-3797
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3302
OK
2255A2300X
Athletic Trainer
Primary
0506029
NV
Other
Enumeration date
08/16/2006
Last updated
03/23/2026
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