Organization
CARRIE HANSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE L HANSON DPT (PHYSICAL THERAPIST)
(605) 360-7941
Entity
Organization
Contact information
Practice address
46775 VALERIE PL, TEA, SD 57064-8042
(605) 360-7941
Mailing address
46775 VALERIE PL, TEA, SD 57064-8042
(605) 360-7941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427370584
—
SD
Enumeration date
04/18/2022
Last updated
04/18/2022
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