Individual
GENNESSA SPANG-HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
711 W CENTER ST, WEST BRIDGEWATER, MA 02379-1542
(508) 659-4499
(508) 510-4987
Mailing address
703 GRANITE ST STE 3, BRAINTREE, MA 02184-5350
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23208
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110126482A
—
MA
Enumeration date
08/17/2017
Last updated
04/21/2021
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