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Individual

DR. AUTUMN BREANNE HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT,DPT

Contact information

Practice address
1501 PASADENA AVE S, SOUTH PASADENA, FL 33707-3717
(727) 381-1000
Mailing address
495 33RD AVE N, SAINT PETERSBURG, FL 33704-1303
(727) 422-0942

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT31283
FL

Other

Enumeration date
10/17/2017
Last updated
10/17/2017
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