Individual
JUDITH THOMPSON HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3017 CYPRESS SPRINGS BLVD, EDMOND, OK 73034-1313
(410) 802-4762
Mailing address
3017 CYPRESS SPRINGS BLVD, EDMOND, OK 73034-1313
(410) 802-4762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6494
OK
Other
Enumeration date
10/10/2017
Last updated
02/01/2024
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