Individual
JAGAR HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1630 101ST AVE NE STE 140, BLAINE, MN 55449-3401
(763) 703-3509
Mailing address
1630 101ST AVE NE STE 140, BLAINE, MN 55449-3401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12904
MN
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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