Individual
EDWARD HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1705 ANNE ST NW, BEMIDJI, MN 56601-6151
(218) 333-4735
(218) 333-4783
Mailing address
1705 ANNE ST NW, BEMIDJI, MN 56601-6151
(218) 333-4735
(218) 333-4783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1737
MN
Other
Enumeration date
08/13/2014
Last updated
08/14/2014
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