Individual
KIMBERLY JANAE HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
680 E VALLEY RD, TORRINGTON, WY 82240-3606
(307) 532-5355
Mailing address
PO BOX 1790, DOUGLAS, WY 82633-1790
(307) 358-9464
(307) 358-9330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1387
WY
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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