Individual
SARA MARIE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7530 POPPLETON PLZ, APT 3, OMAHA, NE 68124-1585
(402) 990-9547
Mailing address
7530 POPPLETON PLZ, APT 3, OMAHA, NE 68124-1585
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1174
NE
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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