Individual
AMANDA MICHELLE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 JUNCTION DR, ALLEN, TX 75013-5290
(469) 675-3153
Mailing address
3407 MEANDERING DR, WYLIE, TX 75098-7321
(469) 235-0825
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
2102351
TX
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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